୯ ҥ ᆵ ч ៈ ଼ ந ε Ꮲ ᓻ Ѵ ٽ ߥ ػ Ȑ س ȑ ࣴ ز ܌ ᅺ γ ፕ Ў
National Taipei University of Nursing and Health Sciences Department of Infant and Child Care
ࡰ Ꮴ ௲ Ǻ ླྀ ߎ ᝊ റ γ Advisor Ǻ Yang, Kin-Bao PH. D.
а ٽ ู Չ ࣁ ᔠ ਡ ߄ ଓ ᙫ ၸ ٽ Չ ࣁ ᡂ ϯ ϐ ߏ ය ࣴ ز
Child Behavior Checklist with Attention Deficit Hyperactivity Disorder to Track Changes in Behavior of Long -Term Study of
Children.
ࣴ ز ғ Ǻ Ј ྼ ኗ Name Ǻ Li, Hsin-Yu
ύ ҇ ୯ ԭ ԃ Д
ᇞ ᖴ
Ԗ Γ ᇥǴΓ ғ Ԗ Ο ε ۩ ၮǺ Ꮲ ਔ ၶ ډ ӳ Դ ৣǴπ բ ਔ ၶ ډ Տ ӳ ৣ ഡ Ǵ ԋ ৎ ਔ ၶ ډ ঁ ӳ Ք ߧ Ƕ Ј ྼ(2011)ࡰ р Γ ғ Ԗ Ο ε ۩ ၮ Ǻ Ꮲ ၶ ډ ӳ ௲ Ǵ ᠐ ਜ ਔ ၶ ډ ӳ ӕ Ꮲ Ǵ π բ ਔ ၶ ډ ӳ ӕ ٣ Ƕ
ӣ གྷ ቪ ፕ Ў ޑ В η ္Ǵന ा ག ᖴ ޑ ࢂ ๏ ϒ ന ӭ ၗ ྍ ک ᔅ Ԇ ޑ ҏ ਜ ᙴ
ৣǴа ϷǴ ी Ꮲ ๏ ϒ ന ε ᔅ Ԇ ޑ ޱ ሎ Դ ৣǴک Դ ৣ ޑ Ꮲ ғ ɡ റ ྤǶᗋ Ԗ ό ᘐ ๏ ϒ ך Ꮲ ಞ ᐒ ǵႴ ᓰ ک ߞ Ј ޑ ࡰ Ꮴ ௲ ɡ ߎ ᝊ Դ ৣ (ܤ~)Ƕ ε ৎ ჹ Ј ྼ ޑ ᔅ Ԇ Ϸ ྣ ៝ Ǵ ᗺ ᅀ ӧ Ј Ǵ ᖴ ᖴ ா ॺ Ǽ
ନ Ԝ ϐ Ѧ Ǵ ᗋ ा ག ᖴ ࣴ ز ܌ Դ ৣ Ǻ ॳ ሺ Ꮴ ৣ(ܤ~)ǵ ធ ች Ꮴ ৣ(ܤ~)ǵ
᐀ ऴ Ꮴ ৣ(ܤ~)ǵ ௵ ች Դ ৣ(ܤ~)ǵ ች ዝ Դ ৣ(ܤ~)ǵ ߪ ӄ Դ ৣ ǵ ើ ऩ Դ
ৣ(ܤ~)ǵ ࡾ ߎ Դ ৣ(ܤ~)ǵ ࣀ ؊ Դ ৣ ǵ ߎ ᅽ Դ ৣ ǵ ᛏ ች Դ ৣ ǵ ֵ Դ
ৣ ǵ ҭ మ Դ ৣ ǵ ഓ म Դ ৣ Ƕ ᖴ ᖴ ா ॺ ៶ ࣬ Ǽ
ག ᖴ ࣴ ز ܌ ӕ ӳ ۆ ۂǺऍ ׁ ۊ ۊ(ܤ~)ǵඵ ඁ ۆ(ܤ~)ǵች ( ڥ~)ǵ
᨞ ⣬(ܤ~)ǵ ถǵݒ ܃ǵ ᆺ(ܤ~)ǵપ ǵ௵ ճ(ܤ~ )ǵи ޱǵ ◚ ǵ ࡣ Ҳ ǵ ٵ ᓆ ǵ ܃ ᓉ(ࡪ ྣ ғ В ௨)Ƕ а Ϸ Ǵ ག ᖴ ࣴ ز ܌ ᇡ ޑ Ꮲ ۆ ۂ ǵ Ꮲ ǵ ӕ Ꮲ Ǻ ၃ ಌ Ꮲ ۆ(ܤ~)ǵ ᐀ Ꮲ ۆ ǵ ۏ ᑻ Ꮲ ۆ ǵ ҉ Д Ꮲ ۆ ǵ
Ꮲ ۆ ǵ ऍ ᦔ ۆ ۆ ǵ ॕ ࣑ Ꮲ ۂ ǵ ስ ӵ Ꮲ ۂ ǵ ల ҏ Ꮲ ۂ ǵYvesǵVic Ꮲ
ǵ ඁ (ܤ~)Ƕ
ག ᖴ ύ Ѡ ࣽ ε Դ ৣ Ǻ ች Ꮴ ৣ ǵ ඁ Դ ৣ ǵ ޱ ੧ Դ ৣ ǵ ᝊ ᓉ Դ ৣ ǵ ᒴ ӄ Դ ৣ ǵ మ ӄ Դ ৣ ǵ ෭ Դ ৣ ǵ ֮ ࣓ Դ ৣ ǵ ࡿ Ў Դ ৣ ǵ ऍ Դ ৣ ǵ ᒸ
Դ ৣ Ƕ
ག ᖴ ύ Ѡ ࣽ ε ޑ ӳ ۆ ۂǺ ٫ а(ܤ~)ǵ ഻ ႍ(ܤ~)ǵ (ܤ~)ǵ ۃ ۃ(ܤ
~)ǵ ෩ ࣬ ǵ ᱲ ᱲ ǵR -oneǵ λ ۏ Ƕ
ག ᖴ Ў ϯ ε Ꮲ ੬ ౢ س ӳ ۆ ۂ Ǻ ད ᗶ(ܤ~)ǵ ߓ ಁ ǵ ٫ ǵ λ ౚ Ƕ ག ᖴ ቺ ػ ៈ Դ ৣ Ǻ ࣔ Ꮴ ৣ ǵ ࣿ ᐪ Ꮴ ৣ ǵ ܿ ݢ Դ ৣ ǵ ҏ ੧ Դ ৣ ǵ ഓ म Դ ৣ ǵ ల Դ ৣ ǵ ඁ ੧ Դ ৣ ǵ ྻ Դ ৣ ǵ ុ ࣴ Դ ৣ ǵ ܴ ࣓ Դ ৣ ǵ и Դ ৣ ǵ ࡿ Դ ৣ ǵ ᒸ ۸ Դ ৣ ǵ ҅ म Դ ৣ ǵ म Ў Դ ৣ Ƕ
ག ᖴ ቺ ػ ៈ ӳ ۆ ۂǺ✎ ੦ Ꮲ ۆ(ܤ~)ǵλ ၡ(ܤ~)ǵࣦ ࣦǵऍ ൛(ܤ~ )ǵ
੦ ǵ ҥ પ ǵ ⍌ น(ܤ~)ǵ ৎ (ܤ~ )ǵ ហ (ܤ~ )ǵ Ⴀ (ܤ~)ǵ ᯜ ֱ ǵ
٫ ⣬ Ꮲ ۂ ǵ ✎ ൫ Ꮲ ۂ ǵ љ Ჹ Ꮲ ۂ ǵ Ў Ꮲ ۆ ǵ Ћ ᛬ ޗ Ꮲ ۆ ǵ ඳ ฐ Ꮲ ۆ Ƕ
ག ᖴ ߞ က ୯ ύ म ҏ Ꮴ ৣǵӝ ୠ ი Դ ৣǶག ᖴ Ο ᑫ ୯ λ ች ഒ Ꮴ ৣǵӇ మ Ꮴ ৣ ǵ ӝ ୠ ი Դ ৣ Ƕ
ག ᖴ ୯ ύ ǵ λ ӳ ӕ Ꮲ Ǻ आ ҏ(ܤ~ )ǵ ǵ ٵ ܃ ǵ ల ൛ ǵ ෩ ჱ ǵ Ў ണ ǵ ఌ ၈ ǵ Ϸ Γ ǵ Ϊ ҇ ǵ ޱ ։ ǵ ሺ ޱ Ƕ
ག ᖴ ڬ ε ύ ᙴ ৣǵల म ߓ ࠰(ܤ~)ǵࣿ ߓ ࠰(ܤ~)ǵؾ ߓ ࠰(ܤ~)ǵ λ ࣓ ߓ ࠰(ܤ~)ǵ ד మ ߓ ࠰ ǵ ම ۆ(ܤ~)ǵ ۆ(ܤ~)ǵ λ න(ܤ~)ǵ ٫ ໐(ܤ~)ǵ ࠽ ㅹ(ܤ~)ǵ ӵ ǵ ٵ ǵ ◔ ǵ ඁ ੧ ǵ λ Ў ǵ ֶ ᑉ ǵ ᯧ ሺǵऍ ሺǵന ё ང ޑ ✎ λ ۂ ۂǵݒ ᐇǵຐ ࣑Ƕ܃ ಹǵᓉ ༰ ࠓ(ܤ
~)ǵ ܃ ଈ ༰ ࠓ(ܤ~)ǵ ں࣑༰ ࠓ(ܤ~)ǵ ᐀ ༰ ࠓ(ܤ~)ǵ Ь ৱ ༰ ࠓ(ܤ
~)ǵ ٫ ጭ ༰ ࠓ(ܤ~)ǵ ሺ ༰ ࠓ(ܤ~)ǵ Ο झ ज ༰ ࠓ(ܤ~)ǵ ම ྣ
៝ ၸ ޑ ౢ ک ᝊ ᝊ Ƕ
ག ᖴ ߏ ۪ ᙴ ଣ ӳ ӕ ٣ Ǻ ൛ ǵ ٩ Ꮒ ǵ ࣦ ǵ ޱ ߀(ܤ~)ǵ ഓ ޱ(ܤ~)ǵ
ඁ ௵(ܤ~)ǵ ఌ ჱ ǵ ల (ܤ~)ǵ ֮ ⺋ ǵ Ј ඁ ǵ ඁ ੧ ۆ ǵ ల ࣓ ۆ(ܤ~)ǵ
ǵ ࢀ Ԯ ǵ ד Ꮳ ǵAmanda(ܤ~)ǵEricǵ 㡔⣬Դ ৣ ǵ ☰ ᆺ Դ ৣ Ƕ ག ᖴ
݅ դ ࠶ ᙴ ৣǵҖ Ӽ ฅ ᙴ ৣǵ ے ֻ ჴ ಞ ᙴ ৣǵDr. Choe ji Lodoe TashiǶ ག ᖴ ✎ ఼(ܤ~)ǵܮ ٰǵε औǵTaro ߓ դǵᒸ ξ Ꮲ ߏǵSun(ܤ~)ǵШ ണ ǵ ߓ ᅽ ǵ ᑯ ჱ ৣ ۆ ǵ ᝬ ৣ л ǵ Ƕ
ག ᖴ ࢲ ዃ ё ང ޑ λ ܻ ϶(ܤ~)ǺMarr yanneǵMeganǵ ⽋ ࡣ ǵ λ ޚ ǵ λ
⋽ ធ ǵ ര ര ǵ λ ᒍ ᝊ ن Ƕ ε ۆ ۆ ӳ ང ی ॺ Ƕ
ག ᖴ ߓ Ϧ ǵ ߓ ᓽ ǵ ଳ ݿ ǵ ଳ ༰(ܤ~)ǵ ҅ ୷ ژ ژ ǵ ऍ ۄ ༰ ǵ ऍ ۄ ۄ(ܤ~)ǵ ऍ ᗶ ۄ ۄ ǵ ऍ ች ۄ ۄ ǵ Ѡ ࠄ ߓ ࠰ ǵ (ܤ~)ǵ ε ߓ ࠰ ǵ Β ထ ထ ထ ༰ ǵ Ο ထ ထ ǵ λ ထ ထ ǵ ֮ ⳮ ۊ ۊ ǵ ߓ ֻ ঢ ঢ Ƕ
ག ᖴ ܌ Ԗ ම ང ך ǵ Ⴔ ᓰ ך ǵ ᔅ Ԇ ך ǵ ྣ ៝ ך ǵ ᏼ Ј ך ǵ ᜢ Ј ך ǵ ࣁ ך ໒ Ј ǵ ࣁ ך Ј ǵ ࣁ ך у ݨ ޑ ঁ Γ Ǵ ᖴ ᖴ ா ॺ Ƕ Ӣ ࣁ Ԗ ா ॺ ک ך ϩ ٦ ၡ ޑ ഻ ǵ ࡗ ǵ ࠉ ǵ Ǵ ך ޑ Γ ғ ӵ Ԝ ᆒ ற Ƕ
ന ࡕ Ǵ ག ᖴ ך ന ང ޑ ৎ Γ ߓ ݿ ǵ ༰ ࠓ ǵ ঢ ঢ Ǵ ᖴ ᖴ ா ॺ ๏ ך ค ࡕ ៝ ϐ ኁ ޑ ᕉ ნ ֹ ԋ Ꮲ ǴΨ ֹ ԋ ѐ ኻ ࢪ ਓ ၯ ޑ ფ གྷǶӢ ࣁ Ԗ ா ॺǴω Ԗ Ϟ Ϻ ޑ ך Ƕ ך ང ா ॺ Ǽ ҂ ٰ Ǵ ଆ у ݨ փ Ǽ
ᒃ ང ޑ Ѧ இ ߓ ᓽ Ǵ ך ॺ ޑ ऊ ۓ Ǵ ா ӧ Ϻ ࣮ ـ Α ༏ ǻ
Ј ྼ(ߓ ਖ)ᙣ ᇞ 2011.01 .17
୯ ҥ ᆵ ч ៈ ଼ ந ε Ꮲ ᓻ Ѵ ٽ ߥ ػ Ȑ س ȑ ࣴ ز ܌ ᅺ γ ፕ Ў ᄔ ा
ࣴ ز ܌ ձ Ǻ ᓻ Ѵ ٽ ߥ ػ س
ፕ Ў Ӝ ᆀ Ǻ а ٽ ู Չ ࣁ ᔠ ਡ ߄ ଓ ᙫ ၸ ٽ Չ ࣁ ᡂ ϯ ϐ ߏ ය ࣴ ز
ࡰ Ꮴ ௲ Ǻ ླྀ ߎ ᝊ റ γ
ࣴ ز ғ Ǻ Ј ྼ
ύ Ў ᄔ ा
ҁ ࣴ ز ԑ ӧ ߏ ය ଓ ᙫ ᛰ ނ ݯ ᕍǴჹ ܭ ݙ ཀ Κ લ ഐ ၸ ੱ ٽ ู ޑ ԋ ਏǴ٠ а ٽ ู Չ ࣁ ᔠ ਡ ߄ ຑ ځ Չ ࣁ ᆣ ୢ ᚒ ޑ ׯ ๓ ำ ࡋǶࣴ ز ჹ ຝ
ٰ Ծ Ѡ ч ࢌ ᙴ Ꮲ ύ Ј ٽ ู Ј ඵ ࣽ ߐ ບ Ǵ ԃ ស 6-12 ྃ ϐ ADHD ٽ
ู Ӆ 182 Տ Ǵ ځ ύ ݙ ཀ Κ ό ى ᜪ ࠠ 93 Տ Ǵ ፂ /ၸ ᜪ ࠠ 10 Տ Ǵ ష ӝ ᜪ ࠠ 79 Տ Ƕ
ҁ ࣴ ز ճ Ҕ ٽ ู Չ ࣁ ᔠ ਡ ߄ ٰ К ၨ ڙ ၂ ޣ ӧ ᛰ ނ ݯ ᕍ ǵݯ ᕍ ԃ ࡕǵݯ ᕍ ٿ ԃ ࡕ Ӛ Չ ࣁ ቫ य़ ޑ ৡ ౦Ƕ٠ а ൂ Ӣ η ख़ ፄ ໆ ኧ ᡂ ౦ ኧ ϩ բ ी ϩ Ǵ ऩ Ο ঁ ਔ ໔ ᗺ ޑ ၗ ၴ ϸ ౚ ᔠ ۓ ਔ ߾ ௦ Ҕ
Greenhouse -Geisser ޑ ਠ ҅ ߯ ኧ Ǵ Զ ӧ ਏ ݀ ၲ ᡉ ਔ Ȑ ᡉ Н ྗ significance level ۓ ࣁ.05ȑ ߾ ٬ Ҕ LS D ޑ Б ݤ ٰ Չ ٣ ࡕ К ၨ Ƕ
ݙ ཀ Κ ό ى ᜪ ࠠ ӧ ቶ က Չ ࣁ ୢ ᚒ ׯ ๓ Ǵ ϣ ϯ Չ ࣁ ޑ ኁ ᢠ ǵ ம ॐ ǵ ܤ ي ᡏ ό ǵ ޗ ଏ ᕭ ᆶ Ѧ ϯ Չ ࣁ ޑ ၸ ǵ װ ᔐ ǵ ߚ Չ Չ ࣁ
֡ ၲ ᡉ ৡ ౦ Ƕ ᛰ ނ ݯ ᕍ ё а Ԗ ਏ फ़ ե ADHD ٽ ู ϩ ޑ Չ ࣁ ᆣ (ኁ ᢠ)ୢ ᚒ Ƕ
ABSTR ACT
The purposes of this stud y were to describe the medication prescription patterns of Children with ADHD and assess their behavior and emotion with C BC L. 182 children who are 6 -12 years old, with ADHD of Inattentive t ype (n=93) ǵ H yperactivit y/ Impulsivit y Type(n=10) and mix ed t ype(n=79) were included in the study.
The y were patients of section of child & adolescent ps ychiatr y of one medical center in Taipei. Behavior assessment records w ith C BC L for participants were obtained at three data collection points: on admission, one yea r later, two years later. Descriptive statistics, one-wa y repeated measures ANOVA , Greenhouse -Geisser and least significant difference method (LS D) were used thro ugh Spss computer program.
There was significantl y change in children’s internalizing problems
including depression, thought , somatic complaint, and social withdrawal; and in externalizing behavior including h yperactivity, aggressive behavior, delinquency. Medical treatment i s effective for ADHD children in part of behavioral and emotional P roblems.
Key wordǺAttention-Deficit H yperactivit y Disorder(ADHD)ǵChild Behavior Checklist(CBC L)ǵMedical treatment
Ҟ ᒵ
ಃ ക ᆣ ፕ ... 1
ಃ ݙ ཀ Κ લ ഐ ၸ ੱ ... 5
ǵ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ບ ᘐ ... 5
Β ǵ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ੰ Ӣ ... 8
Ο ǵ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ቻ ᆶ Չ ࣁ ... 10
Ѥ ǵ ݙ ཀ Κ લ ഐ ၸ ੱ ϐ Ӆ ੰ ੱ ... 12
ಃ Β ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ݯ ᕍ Б Ԅ ... 15
ǵ ᛰ ނ ݯ ᕍ ... 15
Β ǵ ߚ ᛰ ނ ݯ ᕍ ... 24
ಃ Ο ݙ ཀ Κ લ ഐ ၸ ੱ ϐ ݯ ᕍ ԋ ਏ ... 31
ಃ Ѥ ୯ ϣ Ѧ ࣬ ᜢ ࣴ ز ... 33
ಃ ϖ ࣴ ز Ҟ ޑ ... 35
ಃ Ο ക ࣴ ز Б ݤ ... 37
ಃ ࣴ ز ࢎ ᄬ ... 37
ಃ Β ࣴ ز ჹ ຝ ... 38
ಃ Ο ࣴ ز π ڀ ... 39
ಃ Ѥ ၗ ϩ ... 40
ಃ Ѥ ക ࣴ ز ่ ݀ ... 41
ಃ ڙ ၂ ٽ ู ୷ ҁ ၗ ... 41
ಃ Β ݙ ཀ Κ ό ى ᜪ ࠠ ӧ CBC L Ӛ Չ ࣁ ੱ ރ ޑ ߄ ... 43
ǵ ቶ က Չ ࣁ ୢ ᚒ ϐ ׯ ๓ ... 43
Β ǵ ڀ ᡏ Չ ࣁ ୢ ᚒ ϐ ׯ ๓ ... 46
ಃ Ο ష ӝ ᜪ ࠠ ӧ C BC L Ӛ Չ ࣁ ੱ ރ ޑ ߄ ... 55
ǵ ቶ က Չ ࣁ ୢ ᚒ ϐ ׯ ๓ ... 55
Β ǵ ڀ ᡏ Չ ࣁ ୢ ᚒ ϐ ׯ ๓ ... 58
ಃ ϖ ക ่ ፕ ᆶ ࡌ ... 66
ಃ ่ ፕ ... 66
ǵ ၲ ᡉ ׯ ๓ ޑ Չ ࣁ ୢ ᚒ ... 66
Β ǵ ߚ ុ ܄ ׯ ๓ ޑ Չ ࣁ ୢ ᚒ ... 67
Ο ǵ ុ ܄ ׯ ๓ ޑ Չ ࣁ ୢ ᚒ ... 67
ಃ Β ࡌ ... 68
ǵ ᔠ ਡ ߄ ቶ ᔈ Ҕ ޑ ࡌ ... 68
Β ǵ ᛰ ނ ᆶ ௲ ػ ӝ ᕍ ػ ޑ ࡌ ... 69
Ο ǵ ҂ ٰ ࣴ ز ޑ ࡌ ... 70
ಃ Ο ࣴ ز ज़ ڋ ... 71
ୖ Ե ၗ ... 72
ύ Ў ϩ ... 72
म Ў ϩ ... 73
4-16 ྃ ٽ ู Չ ࣁ ᔠ ਡ ߄-Р ҆ ހ ୢ ڔ ... 87
߄ Ҟ ᒵ
߄ 4-1-1 ڙ ၂ ٽ ู ୷ ҁ ၗ ... 42
߄ 4-2-1 ݙ ཀ Κ ό ى ᜪ ࠠ ϐ ቶ က Չ ࣁ ୢ ᚒ ׯ ๓ ޑ ϩ ኧ ... 46
߄ 4-2-2 ݙ ཀ Κ ό ى ᜪ ࠠ ϐ ڀ ᡏ Չ ࣁ ୢ ᚒ ׯ ๓ ޑ ϩ ኧ ... 54
߄ 4-3-1 ష ӝ ᜪ ࠠ ϐ ቶ က Չ ࣁ ୢ ᚒ ׯ ๓ ޑ ϩ ኧ ... 55
߄ 4-3-2 ష ӝ ᜪ ࠠ ϐ ڀ ᡏ Չ ࣁ ୢ ᚒ ׯ ๓ ޑ ϩ ኧ ... 655
კ Ҟ ᒵ
კ 3-1 ࣴ ز ࢎ ᄬ ... 37 კ 4-2-1 ϣ ϯ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 444 კ 4-2-2 Ѧ ϯ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 45 კ 4-2-3 ኁ ᢠ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 47 კ 4-2-4 ம ॐ ܄ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 48 კ 4-2-5 ܤ ي ᡏ ό ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 49 კ 4-2-6 ޗ ଏ ᕭ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 50 კ 4-2-7 ၸ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 51 კ 4-2-8 װ ᔐ ܄ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 52 კ 4-2-9 ߚ Չ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 53 კ 4-3-1 ϣ ϯ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 56
კ 4-3-2 Ѧ ϯ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 57 კ 4-3-3 ኁ ᢠ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 58 კ 4-3-4 ம ॐ ܄ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 59 კ 4-3-5 ܤ ي ᡏ ό ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 60 კ 4-3-6 ޗ ଏ ᕭ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 61 კ 4-3-7 ၸ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 62 კ 4-3-8 װ ᔐ ܄ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 63 კ 4-3-9 ߚ Չ ӧ ෳ ǵ ԃ ࡕ ǵ ٿ ԃ ࡕ ޑ Ο ᅿ ό ӕ ਔ ໔ ᗺ ϐ ϩ ኧ ᡂ ϯ ... 64
ಃ കġ ᆣ ፕ
ऍ ୯ Ӝ ޑ ว ܴ ৎ ང ् ғǵम ୯ ৌ ࣬ ߋ ӓ ᅟǴϷ Ԗ Ӝ ޑ ࣽ Ꮲ ৎ ང Ӣ ථ ڶ ΓǴд ॺ ӧ ٽ ู ਔ ය ޑ ࢌ ٤ Չ ࣁ ୢ ᚒ ᕴ ࢂ з ڬ ᎁ ޑ Γ ॺ ε ࣁ Ӏ О Ƕ җ ܭ ਔ ޑ ԃ ж Ǵ ᙴ Ꮲ ࣚ ᗋ ό మ ཱ ೭ ኬ ޑ Չ ࣁ ឦ ܭ ੯ ੰ ޑ ᅿǴӢ Ԝ ε Γ ᕴ ࢂ ஒ д ॺ ຎ ࣁ ഞ ྠ ޑ ᇙ ᐒǶ ӧ ך ॺ Α ှ ډ ࢌ ٤ Չ
ࣁ ౦ த Ǵ ځ ჴ ࢂ ᅿ ε တ ੯ ੰ Ǵ ٠ మ ཱ ۓ က р ݙ ཀ Κ લ ഐ ၸ ੱ ȐAttention -Deficit H yperactivit y DisorderǴ а Π ᙁ ᆀ ADHDȑǶ
ਥ Ᏽ ऍ ୯ ᆒ ઓ ᙴ Ꮲ Ꮲ (American Ps yc hiatric AssociationǴ ᙁ ᆀ APAǴ2000)ஒ ADHD Ξ ᆀ ࣁ ݙ ཀ Κ ό ى ၸ ੱǵݙ ཀ Κ લ ཞ ၸ ੱ ǵ ၸ ੱ ܈ ӭ ੱ Ƕ ځ Ь ा ᗺ ࣁ ݙ ཀ Κ ό ύ ǵ ፂ ǵ ၸ Ǵ ቹ ៜ ऊ 3%-7%ޑ Ꮲ ស ٽ ู(Faraone, S pencer, Aleardi, Pagano, and
Biederman, 2003 ; P olancz yk, de Lima, Horta, Biederman and Rohde, 2007)Ƕ Զ ೭ ٤ ٽ ู ۳ ۳ Ԗ ځ д ᆒ ઓ ੯ ੰ Ǵ ࢬ Չ ੰ Ꮲ ࣴ ز ᆶ ӝ ٳ ੱ ϟ ܭ 50%ک 90% (S pencer, Biederman and Wilens, 1999; Wilens, et al ., 2002)Ƕ
ฅ Զ ADHD วғ ޑ Չ ڙ ό ӕ ࣴ ز Б ݤ Զ Ԗ ৡ ౦ ܄ Ǵ ٯ ӵ ٬ Ҕ ό ӕ ޑ ບ ᘐ س ٰ ᒣǴ܈ ࢂ Չ ࣁ ୢ ڔ ፓ Ǵੋ Ϸ ډ ޑ ܄ ձ ک ԃ ស ቫ ޑ ϩ ѲǴа Ϸ ܜ ኬ ҆ ဂ ࣁ ѱ ኬ ҁǵໂ ޗ ኬ ҁ ܈ ࢂ ᖏ ኬ ҁ Զ ࣴ ز ่ ݀ ό ӕ(Barkle y, 2002; Newcorn, et al., 1994)Ƕ ٩ Ᏽ DSM-IV ܌
ޑ ࣴ ز ᡉ Ң Ǵ ӧ ᐞ ࢪ ޑ ADHD Չ ऊ Ԗ 2.4%(Gomez , Harvey, Quick, Scharer and Harris, 1999)Ǵ Զ ύ ୯ ޑ ADHD Չ ൔ ࣁ 1.3%-13.6%(Tao, 1991)ǴВ ҁ ߾ Ԗ 4%(R obinson, Sclar, S kaer and Galin, 1999)Ƕ ӧ ୯ ϣ ޑ ϩ Ǵ Ц ถ Ȑ1983ȑ а ٽ ู ࢲ ໆ ߄ Р ҆ ǵ ௲ ৣ ހȐWerr y-Weiss -P eters Activit y S cale C hinese versionǴᙁ ᆀ WWPASǴ
ک Conner's Teacher Rating S caleǴ ᙁ ᆀ CTRSȑ ࣁ π ڀ Ǵ ٩ DSM- IV ບ ᘐ ྗ Ǵ ፓ ଯ ѱ Ꮲ ស ٽ ู ADHD ϐ Չ ࣁ 9.9%Ǵ ځ ύ ت ζ ғ ޑ К ϩ ձ ࣁ 14.9%ᆶ 4.5%Ǵت ғ ࣁ ζ ғ ޑ 3.3७ǶԶ ֺ ᆢ Ȑ1984ȑ ਥ Ᏽ ᆵ ε ᙴ ଣ ߕ ٽ ู Ј ፁ ғ ύ Ј ޑ ߐ ບ ᒵ Ǵ ߃ ບ ਢ ٯ 5%
Ѱ ѓ Ƕ ࢫ ហ ྼȐ1991ȑӧ Ѡ Ꮲ ស ٽ ู ޑ Չ ࣴ ز ࣁ 4 .9% -5 %Ƕ Զ ߈ ԃ Ѡ ҁ β ਥ Ᏽ DS M- IV ࣴ ز 7-12 ྃ ٽ ู ϐ ADHD ޗ ኬ ҁ ޑ
Չ ࣁ 8.4%Ȑ ᆴ ԟ ǵֆ Ӏ ᡉǵቅ ࣿ ѳǴ2002ȑǶߠ դ Ꮜǵ݅ ד ୲ ǵ ᒨ ඳ ǵഋ ૐȐ2003ȑӧ Ѡ ύ Ӧ ࢌ ୯ λ ե ԃ ભ Ꮲ ู ݙ ཀ Κ ό ى ၸ
ੱ ং ဂ Չ ߃ ύ Ǵ а DS M- IV ບ ᘐ ྗ ዴ ۓ Ꮲ ู ບ ᘐ ک ӝ ٳ
ੱ Ǵ ߃ ी ADHD ϐ Չ ऊ 6.3%Ǵ Ԗ ࣬ К ٯ ޑ ঁ ਢ ӝ ٳ ځ д
ୢ ᚒ Ǵ ՠ Ӣ ঁ ਢ ኧ ό ى ᜤ а ी Ӆ ੰ Ƕ
٩ ྣ ࣴ ز ൔ ޑ Չ Ǵ ӧ Ѡ ऊ Ԗ 20 ӭ Ӝ ٽ ู ڙ ډ ADHD ޑ ֚ ᘋǴՠ ࢂ ௗ ڙ ບ ᘐ ᆶ ݯ ᕍ ޑ ऊ 1 ঁǴЬ ा ޑ চ Ӣ ё ૈ ࢂ ޗ ε ჹ ܭ ADHD ޑ ᇡ ό ى Ƕ д ॺ த ᇤ ᇡ ࣁ Ⴄ Ҝ ǵ ང ୠ ϸ ፓ ǵ ᅐ ό Ј ǵ ό ᠋ ၉ ޑ ٽ ู Ǵ ࢂ Ⴧ ଲ ǵ ཡ ೈ ଲ Ǵ ܈ ࢂ Ȩ ၸ ٽ ȩǶ Ӣ ࣁ Р ҆ ޕ ό ى ܈ ܔ ๊ य़ ჹ ޑ Ј ᄊǴᕴ ᇡ ࣁ ٽ ู ҁ ٰ ൩ ࢂ ೭ ኬǴ܈ ᇤ а
ࣁ д ॺ ޑ Չ ࣁ ୢ ᚒ ߏ ε ൩ ӳǶӆ ό ฅ ߾ ᘜ گ д ӢǴᇡ ࣁ ࢂ ε Γ ό
௲Ǵ܈ Դ ৣ ჹ ೭ ٤ ٽ ู Ԗ ܌ ୃ ـǶࣗ Կ ᇡ ࣁ ٽ ู ѐ ࣮ ᆒ ઓ ࣽ ੮ Π ό ӳ ޑ ᒵǴᏼ ኁ ܺ ᛰ ٰ ࡐ ӭ ୋ բ Ҕ ל ܔ Ӣ નǴԶ ค ݤ ុ ೕ ߾ ޑ ݯ ᕍ Ƕ
ᗨ ฅ ၸ ٽ ଓ ᙫ ࣴ ز ග Ϸ Ǵ ε ӭ ኧ ADHD ޑ Ԑ ය ੱ ރ ᒿ ਔ ໔
ᅌ ෧ ᇸǴՠ ݙ ཀ Κ ό ى Ϸ ፂ ੱ ރ ϝ ុǴԶ ೭ ٤ ූ Ꭹ ੱ ރ ԋ ᡏ ܄ ޑ ᔈ ό ؼ Ȑ ጰ ඳ ֻ ǵ ଯ ల Ǵ1999ȑǶ ٽ ู Ε Α ߙ Ͽ ԃ ਔ යǴӚ ᅿ Չ ࣁ ೕ ጄ ޑ ୢ ᚒ ഌ ុ р Ǵӭ ኧ ࣴ ز ่ ፕ ࣣ ᇡ ࣁ ऩ ӝ ٳ ځ д ޑ ᆒ ઓ ੯ Ǵ ӵ Ǻ ჹ ҥ ܄ ϸ ל ੯ ȐOppositional Defiant
DisorderǴ ᙁ ᆀ ODDȑǵ ࠔ Չ ੯ ȐC onduct DisorderǴ ᙁ ᆀ CDȑǴ Ϸ ϸ ޗ ࠠ Γ ၴ த ȐAnti-social P ersonalit y DisorderǴ ᙁ ᆀ APSȑȐ ֺ ᆢ ǵ ߠ ػ ሎ Ǵ1996ȑǴ ೭ ٤ ୢ ᚒ ё Ⴃ ෳ ҂ ٰ ҍ Չ ࣁ ޑ ౢ ғ Ǵ Ӣ Ԝ ჹ ޗ ԋ ವ ε ޑ ቹ ៜ Ƕ
ऍ ୯ ࣴ ز ᡉ Ң ADHD ӵ ݀ ό ௗ ڙ ݯ ᕍ ԋ ཱུ ε ޑ ፂ ᔐ Ǵ ӧ ൩ Ꮲ ݩ Б य़ Ǵ җ ܭ ੱ ރ Ϸ Չ ࣁ ޑ ቹ ៜ Ǵ Ꮴ ठ Ꮲ ಞ ም ᛖ ǵ ᆣ ም ᛖ Ǵ Ꮲ ಞ ԋ ൩ եǴࣴ ز ࡰ р Ԗ 46%ޑ ޣ Ꮲ ਠ ଏ ᏢǴ35%ޑ ADHD Ծ ᒤ
ଏ Ꮲ(Barkle y, Fischer, Edelbrock and Smallish, 1990)Ƕ ҂ ௗ ڙ ݯ ᕍ ޑ ٽ ู ܈ Ꮲ ғ Ԗ 30%ޑ ٽ ู ሡ ा ௗ ڙ ਸ ௲ ػ Ǵ30%ޑ ٽ ู ᎁ ډ ੮ ભ Ǵ Ԗ 40%ޑ ٽ ู ว р ኁ ᢠ ੱ(Satterfield, Swanson, Schell, and Lee, 1994 ; Biederman, Faraone, Weber, R ussell, and R ater, 1997)Ƕ வ ৎ ғ ࢲ ٰ ࣮ Ǵ ࣴ ز ᡉ Ң ځ Р ҆ ᚆ ౦ ܈ ϩ ۚ ޑ ࢂ Γ ޑ 3-5 ७ (Barkley, Fischer, Edelbrock and S mallish , 1991; Brown and Pacini, 1989)Ǵ ځ Ћ ى ว ғ ަ ᡏ ፂ ँ ޑ Ψ ࢂ Γ ޑ 2-4 ७(Mash and Johnston, 1983)Ƕ ӧ ޗ ᔈ Κ Ǵ Ԗ ٤ ޣ Ǵ ӧ π բ ݩ Б य़ Ǵ ё ૈ ុ ඤ π բ ܈ ค ݤ ᒥ Ӻ ࡰ з Ƕ Ԝ Ѧ Ǵ55%҂ ௗ ڙ ݯ ᕍ ޑ ԋ Γ ᡂ ԋ ނ ፦ ᔲ Ҕ ޣ Ȑ ֎ ࢥ; ܜ ྟ; ഀ ଚ ȑǴ ܈ வ ٣ ځ д ଯ ॥ ᓀ ǵ ၴ ݤ ޑ Չ ࣁ Ǵ ٯ ӵ ҂ ௗ ڙ ݯ ᕍ ζ ࠸ ё ૈ வ ٣ ଯ ॥ ᓀ ܄ Չ ࣁǴᏱ Ԗ ӭ ख़ ܄ Ք ߧ ܈ ᡂ ԋ ҂ ஆ ༰ ༰ (Satterfield, et al. , 1994 ; Biederman, et al., 1997 )Ƕ
ᆕ ӝ а ܌ ॊǴADHD ੱ ރ ԋ ٽ ู ޑ Ꮲ ಞ ም ᛖǵ ᆣ ֚ ᘋ ޑ Չ
ࣁ ୢ ᚒ р Ǵ ੱ ރ ុ Կ ߙ Ͽ ԃ යǵԋ Γ යǴ߾ ቹ ៜ ځ ҂ ٰ ޗ ᔈ ޑ ֚ ᜤǶӢ Ԝ Ǵऩ લ Ю ݯ ᕍ Ϸ Ԗ ਏ ޑ ᆅ ౣǴ ჹ ܭ ޗ ё ૈ
ٰ ॄ य़ ޑ ቹ ៜ Ƕ ࡺ ҁ ࣴ ز а Р ҆ ༤ ቪ ޑ ٽ ู Չ ࣁ ᔠ ਡ ߄ ȐChild Behavior C hecklistǴ а Π ᙁ ᆀ C BC Lȑߏ ය ଓ ᙫ ADHD ٽ ู ޑ Չ ࣁ ᡂ ϯ Ǵ ٠ Α ှ ᛰ ނ ݯ ᕍ ਏ ݀ Ǵ а բ ࣁ Р ҆ ᆶ Դ ৣ ჹ ADHD ٽ ู Ӣ ᔈ ϐ
ၰ Ǵ ׯ ๓ ADHD ܌ ԋ ޑ Ӛ ᅿ ੱ ރ Ǵ ள а ှ ᒃ η Ϸ ৣ ғ ᜢ ߯ ޑ ᆙ
ᓸ ΚǴ׳ Ԗ շ ܭ ٛ З В ࡕ ҍ ޑ ว ғ Ǵ Զ ෧ ᇸ ޗ ԋ ҁ ޑ ॄ ᏼ Ƕ
ಃ Β ക Ў
ҁ ക ٩ Ᏽ ᆶ ҁ ࣴ ز Ԗ ࣬ ᜢ ޑ ϩǴϩ ձ ϟ ಏ ݙ ཀ Κ લ ഐ ၸ ੱ Ϸ ݯ ᕍ Б Ԅ ᆶ ݯ ᕍ ԋ ਏǴ୯ ϣ Ѧ ࣬ ᜢ ࣴ ز ک ࣴ ز Ҟ ޑǴϣ ϩ ձ ௶ ॊ ӵ Π Ƕ
ಃ ġݙ ཀ Κ લ ഐ ၸ ੱ
ݙ ཀ Κ લ ഐ ၸ ੱȐAttention-Deficit H yperactivit y DisorderǴ а Π ᙁ ᆀ ADHDȑ ࢂ ٽ ู த ـ ޑ ᆒ ઓ ੯ ੰ Ǵ а Π ϩ ձ ϟ ಏ Ԗ ᜢ ADHD ޑ ບ ᘐ ǵ ੰ Ӣ ǵ ቻ Չ ࣁ Ϸ Ӆ ੰ ੱ Ƕ
ǵġ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ບ ᘐ
ADHD ޑ ບ ᘐ ᆶ ຑ Б Ԅ Ь ा а ፋ ࣁ ບ ᘐ ޑ ٩ ᏵǴх ࡴ ᇆ ੰ ў ၗ Ǵ Ј ว Ϸ ޗ ф ૈ ރ ᄊ Ǵ ว ў Ǵ ၸ ѐ Ҕ ᛰ Ǵ ௗ ڙ ၸ ޑ ࣬ ᜢ ݯ ᕍ Ϸ ځ ϸ ᔈǴම ၸ ޑ ຑ ่ ݀Ǵৎ ўǶځ ԛ ࢂ Չ ࣁ ᢀ ჸǴ х ࡴ ࢲ ໆ ε λ Ǵ ݙ ཀ Κ ߏ อ Ǵ Γ ሞ ᜢ ߯ Ǵ ᆶ Γ ϐ ໔ ޑ ϕ Ǵ ي ᡏ Ԗ ค ౦ த ϸ ᔈǴᓸ Κ ϸ ᔈǶಃ Ο ߾ ࢂ ճ Ҕ ຑ ෳ ᡍ ࣁ ບ ᘐ ޑ ୖ Ե Ǵ К ӵ IQȐIntelligence QuotientǴඵ Κ ኧ ȑǴઓ Ј ຑ ǴΓ ෳ ᡍ Ǵ
௲ ຑ Ǵ ݙ ཀ Κ ෳ ᡍ Ƕ ᗨ ฅ ؒ Ԗ Һ Ֆ ຑ ෳ ᡍ ܈ π ڀ ૈ ዴ ۓ ບ ᘐ ADHDǴՠ ऍ ୯ ୯ ৎ ፁ ғ ଣ Ϸ ᆒ ઓ ݯ ᕍǵЈ Ꮲ ᆶ ௲ ػ ი ᡏ ࣣ ຎ ADHD
ࣁ ᅿ ي ᡏ ф ૈ ڙ ཞ ޑ ੯ ੰǶӧ ኻ ऍ Ӛ ୯ ٽ ࣽ ᙴ Ꮲ Ϸ ٽ ู ߙ Ͽ ԃ ᆒ ઓ ᙴ Ꮲ Ψ ଞ ჹ ADHD ڋ ۓ ܴ ዴ ޑ ບ ᘐ Ϸ ݯ ᕍ ྗ ߾ Ƕ
ਥ Ᏽ ऍ ୯ ᆒ ઓ ࣽ Ꮲ (APA, 2002) DSM -IV ޑ ᖏ ບ ᘐ ྗ ஒ ADHD ϩ ࣁ Ο ε ᜪ Ǵ ࣁ ݙ ཀ Κ ό ى Ǵ Ӆ Ԗ ΐ ঁ ੱ ރ ǹ Β ࣁ ၸ /ፂ
Ǵ Ӆ ΐ ঁ ੱ ރ Ǵ ࡕ Ο ᅿ ੱ ރ ឦ ܰ ፂ Ǵ а Ϸ ಃ Ο ష ӝ ᜪ ࠠ Ƕ ځ ੱ ރ ᇥ ܴ ϩ ॊ ӵ Π Ƕ
() ݙ ཀ Κ ό ى( Inattention Type)Ǻ
1. ݙ ཀ Κ ό ؼ ࠠ த ค ݤ ݙ ཀ ಒ Ǵ܈ ӧ Ꮲ ਠ բ ǵπ բ ǵ
܈ ځ д ࢲ த ಉ Ј ҍ ᒱ Ƕ
2. ӧ π բ ܈ ၯ ᔍ ࢲ ਔ த Ԗ ֚ ᜤ ᆢ ݙ ཀ Κ Ƕ 3. ձ Γ ҅ ჹ д Ȑ Ӵ ȑ ᇥ ၉ Ǵ த ค ݤ Ј ᠋ Ƕ
4. த ό ૈ ྣ ࡰ Ң ע ٣ ֹǴ٠ Ъ ό ૈ ֹ ԋ Ꮲ ਠ բ ǵৎ ٣ ϩ π ǵ ܈ π բ ܌ ޑ ᙍ ೢ Ȑ ٠ ߚ җ ܭ ჹ ҥ Չ ࣁ ܈ ό ᕕ ှ ࡰ Ң ȑǶ
5. ೕ Ⴤ π բ Ϸ ࢲ த Ԗ ֚ ᜤ Ƕ
6. த ᗉǵ܈ ௨ Ѿ ୖ ᆶ ሡ ӄ ઓ ೣ ݙ ޑ Һ ୍Ȑ ӵ Ꮲ ਠ բ ܈ ৎ բ ȑǶ
7. த ᒪ Ѩ π բ ܈ ࢲ Ѹ ഢ ϐ ނȐ ӵǺވ ڀǵᏢ ਠ ࡰ ۓ բ ǵ
ႉ ǵ ਜ ҁ ǵ ܈ Ў ڀ ȑǶ
8. த ܰ ڙ Ѧ ࣚ ڈ ᐟ ቹ ៜ Զ ϩ Ј Ƕ 9. ӧ В த ࢲ த ᒪ ב ٣ ނ Ƕ
(Β) ၸ /ፂ (H yperactivit y/ Impulsivit y Typ e)Ǻ
1. த Ћ Ԇ ဌ ܈ ֤ ਔ ס ό Ӽ Ƕ
2. ӧ ፐ ܈ ځ д ሡ ӳ ӳ ֤ ӧ ০ Տ ޑ ӝǴਔ த ᚆ ໒ ০ Տ Ƕ 3. ӧ ό ޑ ӝ த ၸ ࡋ Ӧ Ѥ ೀ ھ າ ܈ ᚹ ݽȐ ӧ ߙ Ͽ ԃ ܈
ԋ Γ ё ज़ ܭ Ь ᢀ ག ډ ό ૈ Ӽ ᓉ ȑǶ 4. த Ԗ ֚ ᜤ Ӽ ᓉ Ӧ ၯ ވ ܈ வ ٣ Ҷ ໕ ࢲ Ƕ
5. த ೀ ܭ ࢲ ៌ ރ ᄊ Ǵ ܈ த Ⴝ Ȩ ଭ ၲ ȩ Ѥ ೀ ࢲ Ƕ 6. த ᇥ ၉ ၸ ӭ Ƕ
7. த ӧ ୢ ᚒ ۘ ҂ ᇥ ֹ ਔ ջ ཟ ᇥ เ ਢ Ƕ 8. ሡ ፺ ࢬ ਔ த Ԗ ֚ ᜤ ࡑ Ƕ
9. த Ѻ ᘐ ܈ ߟ ᘋ д Γ Ȑ ӵ ຩ ฅ ᚃ Ε д Γ ޑ ፋ ၉ ܈ ၯ ᔍ ȑǶ
(Ο) ష ӝ ᜪ ࠠ(C ombined Type)
೭ ᜪ ੯ ޑ ቻ ࢂ ᆕ ӝ ॊ ٿ ᅿ ᜪ ࠠ ޑ ੱ ރǶଞ ჹ ష ӝ ᜪ
ࠠ ADHD ޑ ࣴ ز ᡉ Ң Ǵ д ॺ ё ૈ Ӄ ว ၸ Ϸ ፂ ޑ ੱ ރ Ǵ ٠ Ъ ӧ Ꮲ ស ൩ р ೭ ٤ ୢ ᚒǶԶ ӧ ε ϩ ঁ ਢ ໒ ۈ Ꮲ ࡕ ޑ
൳ ԃ ϣǴੰ ำ ߾ ว р ݙ ཀ Κ ቶ ࡋǵ ុ ࡋ Ϸ ݙ ޑ ֚ ᜤǶ
ा ዴ ۓ ٽ ู ࢂ ό ࢂ ၸ ٽ ܈ ݙ ཀ Κ ό ύǴள Ӄ ᔠ ຎ ٽ ู ޑ Չ ࣁ
ࢂ ց ಄ ӝ DS M- IV ޑ ᖏ ບ ᘐ ྗǶԶ ॊ ޑ ٗ ٤ ੱ ރ ा ӧ 7 ྃ р
ǴЪ ុ Ϥ ঁ Д а Ǵ೭ ٤ ᔈ ό ؼ ຝ ԋ ф ૈ ޑ ቹ ៜǴቶ ݱ ว ғ ӧ ٿ ᅿ а ޑ ӝ Ȑ ٯ ӵ Ǻ Ꮲ ਠ ǵ ৎ ǵ π բ ܌ ȑ р Ǵ Π ບ ᘐ
ǴΨ ᔈ ௨ ନ ೭ ٤ ੱ ރ ό ࢂ ቶ ݱ ܄ ว ੯ ǵᆒ ઓ ϩ ੱ ܈ ځ д ᆒ ઓ ੯ ੰ ǶBarkle y(1994)ග ډ ᒿ ԃ इ ܈ ᕉ ნ Ѧ ӧ ޑ ڈ ᐟ ADHD ޑ ੱ ރ Ԗ ό ӕ ำ ࡋ ޑ ቹ ៜ Ǵ Ԗ ٤ ੱ ރ ό ـ ள ۓ р Ǵ Ӣ Ԝ ा Ե ቾ ၠ ნ Ǵ ቶ ݱ ܄ Ǵ ޗ Ҭ લ ཞ а Ϸ ੱ ރ ᝄ ख़ ࡋ Ƕ
ݙ ཀ Κ ό ى ᡉ Ң ٽ ู ٣ ၨ ᜤ Ј Ъ ܰ ϩ ЈǴό ܰ ஒ ҹ ٣ வ ᓐ ډ ׀Ǵӧ ፐ ܈ ࢲ ਔ ࡐ ᜤ ᆢ ݙ ཀ ΚǶԶ ၸ ᡉ Ң ٽ ู ޑ ࢲ
ໆ ୃ ଯǴࡐ ᜤ ١ ١ ֤ ӳǶ ፂ ߾ ࢂ ᡉ Ң ٽ ู ၨ ؒ Ԗ ऐ ЈǴҺ Ֆ ा
Ѹ ा ҥ ջ ᅈ ى Ƕ ٣ ჴ Ǵ ό ࢂ ADHD ޑ ٽ ู Ǵ ӧ ࢌ ᅿ ำ ࡋ Ǵ Ψ ё ૈ р а ບ ᘐ ϐ Չ ࣁǶՠ ࢂǴ೯ த ೭ ٤ Չ ࣁ ໒ ۈ ቹ ៜ ٽ ู ӧ Ꮲ ਠ ܈ ৎ ္ ޑ ҅ த ᐒ ૈ ਔǴ٠ Ъ җ ޑ ᙴ ৣ ղ ᘐ ዴ ບ ࡕǴω ૈ ዴ ບ
ࣁ ADHDǶ
Β ǵġ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ੰ Ӣ
Կ ܭ ADHD Չ ࣁ ም ᛖ ҅ ว ғ ޑ চ ӢǴҞ Ԗ Ӛ ᅿ ό ӕ ޑ ଷ Ǵ ϝ ค ݤ ჴ ࣁ ൂ Ӣ ન ܌ ԋ Ƕ Ԗ ٤ ࣴ ز ࡰ р ё ૈ ᆶ ઓ ှ ও Ꮲ Ӣ ન ǵ ઓ ϯ Ꮲ Ӣ ન ǵ ύ ኰ ઓ ڙ ཞ ǵ ᒪ ୷ Ӣ Ϸ ᕉ ნ Ӣ ન Ԗ ᜢ
(Biederman, Faraone, Keenan, Knee and Tsuang, 1990 )ǶԐ ය ޑ ࣴ ز ᡉ Ң ADHD ϐ ت ζ ޑ ੱ ރ Ϸ Ӓ ᓀ Ӣ η ࢂ ό ӕ ޑ Ǵ ՠ Ԗ ࣴ ز ᡉ Ң ܄ ձ ٠
ؒ Ԗ ᡉ ޑ ৡ ౦(Breen, 1989)Ƕ
ӧ ઓ ှ ও Ꮲ ว ǴADHD ٽ ู တ ޑ ᚐ ယ Ҝ ፦ (P refrontal Cortex )ǵ ׀ ރ ਡ(C audate Nucleus )ک ᇇ қ ౚ(Globuspallidus )Ο ঁ ୱ К ӕ ԃ ស ҅ த ޑ ٽ ู λ Ƕ ᚐ ယ Ҝ ፦ ࢂ ε တ ޑ Ȩ ڮ з ύ ኰ ȩǴ Զ ځ д ٿ ঁ ϩ ߾ ࢂ ॄ ೢ ஒ ڮ з ᙯ ࣁ Չ Ƕ҅ த ٽ ู ޑ တ Ǵӧ ज ٽ ය Ϸ р ғ ࡕ ޑ ԃ ໔ ុ ԋ ߏ Ǵ Ъ ޑ ԋ ᆶ ่ ӝ ઓ ಒ झ Ƕ ฅ Զ ADHD ٽ ู ӧ တ ф ૈ Б य़ ࠅ ว Ԗ ಒ ༾ ޑ ф ૈ ም ᛖǴҗ ܭ တ ύ ޑ ӭ Ѓ ữ ک ҅ ဏ ન ޑ ໆ ୃ եǴӢ Ԝ ค ݤ Ԗ ਏ ᑔ ᒧ Ε တ ύ ޑ ૻ ৲ǴՉ ࣁ
ڋ Κ ό ى ෧ ১ ঁ ᡏ ჹ Չ ࣁ ࡕ ݀ ޑ ௵ ག ࡋǴԶ फ़ ե Α ঁ ᡏ ᇨ Ӣ Ꮲ ಞ ૈ Κ Ƕ܌ а ݙ ཀ Κ ค ݤ ύǴΨ લ Ю Չ ࣁ ڋ ޑ ૈ ΚǴӢ Զ Ԗ ၸ ک ፂ
ޑ ຝ ౢ ғ Ƕ Ԗ ࣴ ز ᡉ Ң Ԗ ADHD ҂ ݯ ᕍ ޑ ੰ ӧ ҅ η ᘐ ቫ ඔ ȐPositron Emission Tomograph yǴ ᙁ ᆀ PETȑ ύ ޑ ε တ ᆶ Γ ޑ
ε တ ό ӕ Ǵ Ъ ADHD ޣ ޑ ဟ ᑗ ж ᖴ ࢲ ܄ ܴ ᡉ ၨ ե(Epstein and Case y, et al., 2007 ; Zametkin and Nordahl, et al. , 1990)Ƕ
ቹ Ⴝ Ꮲ ࣴ ز ว Ǵҗ ܭ ύ ኰ س ڙ ཞǴတ ύ ௗ ԏ ઓ Ꮴ ނ ፦ ޑ
ௗ ڙ Ꮤ ౦ தǴа ठ ᆛ ރ ࢲ ϯ س ύ Ꮴ ނ ፦ ό ىǴӭ Ѓ ữȐDopamineȑ ޑ ж ᓭ फ़ ե(Faraone, Do yle, Mick and Biederman, 2001 )Ƕ ϩ η ᒪ Ꮲ ک ᛰ Ꮲ ࣴ ز ᡉ Ң ӭ Ѓ ữ ᙯ ၮ ೈ қ ୷ Ӣ ȐDAT1/S LC 6A3ȑ ޑ ᡂ ౦ а Ϸ Ո మ ન ک ဏ ન ޑ ઓ ሀ ፦ س ڙ ཞ Ǵ Ψ ୖ ᆶ Α ADHD ޑ ว
ੰ ᐒ ڋ(Xu, Brookes, Chen, Huang, Wu and Asherson, 2007)Ƕ
Ҟ ڀ ᡏ ޑ ୷ Ӣ ࣴ ز ว ADHD Ӣ ࢌ ᅿ ᒪ ܄ Զ Ї ଆ Ǵ ӕ ռ ᚈ झ ज ӧ ό ӕ ᕉ ნ Π ԋ ߏǴࠅ ૈ ว р ӕ ኬ ᒪ ܄ ፦ ޑ ቻǹԶ ౦ ռ ᚈ झ ज ߾ ց(Willerman, 1973)Ƕ Ӣ Ԝ Ǵ ӕ ռ ᚈ ғ ޑ ᚈ झ ज ׳ ڀ ᒪ ᜢ ᖄ ܄ ޑ ᇥ ܺ Κ Ǵ ऩ ځ ύ Տ ບ ᘐ ࣁ ADHDǴ ߾ ќ Տ Ԗ ADHD ޑ ᐒ ߚ த ଯǶӢ ԜǴADHD ӧ ৎ ύ р ǴԖ ۓ ำ ࡋ ޑ ᒪ ܄Ǵ Ъ ӕ ռ ᚈ झ ज ޑ ᐒ ଯ ܭ ౦ ռ ᚈ झ ज Ƕ
Cantwell(1972)ࣴ ز ᇥ ܴ ADHD ٽ ู ޑ Р ᒃ К ଆ ٽ ู ޑ Р ᒃ Ǵ ځ Ԗ ၸ ޑ ੱ ރ ଯ р Ѥ ७ Ƕ ڬ ҅ অ ΓȐ2007ȑΨ ග ډ ৎ ္ ऩ Ԗ Տ ߈ ᒃ Ԗ ADHDǴԜ ٽ ู ߏ ε ԋ ࣁ Р ᒃ ࡕǴځ η ζ Ԗ ຬ ၸ Ο ϩ ϐ ޑ ᐒ р ADHD ޑ ੱ ރ ǶChen ک Huang Γ Ȑ2003ȑ ޑ ୷ Ӣ ࣴ ز Ψ ว η ζ Ԗ ADHDǴ Р ᒃ Ψ Ԗ 17%ޑ ADHD ᐒ Ƕ
ਥ Ᏽ ࣴ زǴADHD ک ᕉ ნ Ԧ ࢉ ޑ ቹ ៜ Ԗ ᜢǴԶ ೭ ٤ Ԧ ࢉ ٠ ό ࢂ ᝄ ख़ ޑ π Ԧ ࢉ ܈ ޣ ձ ᝄ ख़ ϐ ࢥ ্ǴҞ ς ޕ ႉ ύ ࢥ ԋ ᇡ ޕ Ϸ Չ
ࣁ ም ᛖǴՈ న ύ ޑ ֖ ႉ ໆ ၸ ଯ Ԗ ᜪ ՟ ၸ ޑ ߄ ǴӢ Ԝ Ꮴ ठ ADHD ޑ ੱ ރ Ǵ ё ૈ ࢂ ε ௗ ډ ޑ ֎ ྟ ǵ ଚ ᆒ ܈ ޣ ᕉ ნ ύ ޑ ႉ
(Braun, Kahn, Froehlich, Auinger and Lanphear, 2006; Needleman and Gunnoe, et al., 1979)Ƕ
ਥ Ᏽ ॊ Ӛ ᅿ ࣴ ز ่ ݀ ޑ ό ӕ ᇥ ݤ ᆶ ـ ှǴADHD ޑ ԋ চ Ӣ ε ठ ё ᘜ ય ࣁ ઓ ှ ও Ꮲ Ӣ નǵઓ ғ Ꮲ Ӣ નǵᒪ ୷ Ӣ Ϸ ᕉ ნ Ӣ ન Ƕ ݙ ཀ Κ ک ࢲ ໆ ᜤ а ڋ ޑ Ь Ӣ ࣁ တ ф ૈ ޑ Ꮤ ፦ ܄ ᡂ ϯ Ǵ Զ ADHD Ψ ჴ ࣁ Ԗ ၨ ம ޑ ୷ Ӣ ᒪ ӛ Ƕ
Ο ǵġ ݙ ཀ Κ લ ഐ ၸ ੱ ޑ ቻ ᆶ Չ ࣁ
Barkl y(1990)ஒ ADHD ٽ ู ޑ Ь ा Չ ࣁ ቻ ϩ ࣁ ಉ Ј ǵ ϩ Ј ǵ ၸ ࡋ ᆣ ϸ ᔈ ǵ ፂ ǵ Չ ࣁ ڋ ֚ ᜤ ǵ ᜤ а ᅈ ى ǵ ೕ ߾ Չ ࣁ Ꮲ ಞ ም ᛖ Ǵ Զ ࢫ ហ ྼȐ1998ȑϷ ླྀ ڷ Ȑ1999ȑᇡ ࣁ а ޑ Չ ࣁ ቻ ܌ ़ ғ ޑ ࢂ Ꮲ ୢ ᚒ ǵ װ ᔐ Չ ࣁ ǵ ϸ ޗ ܄ Չ ࣁ ǵ ե Ծ ך ཷ ۺ ǵ π բ ߄ ό ᛙ
ୢ ᚒ Ƕ ਥ Ᏽ DSM -IV س (APA, 2002)ஒ ADHD ϩ ࣁ Ο ࠠ Ǻ ݙ ཀ Κ ό ى ࠠ ȐInattentive Subt ypeǴ ᙁ ᆀ ADHD- IAȑ ܈ ၸ /ፂ
ȐH yperactivit y/ Impulsivit y S ubt ypeǴ ᙁ ᆀ ADHD-H IȑǶ ฅ Զ Ǵ ࢌ ٤ ٽ ู ᡉ Ң ຝ ቻ ݙ ཀ Κ ό ى а Ϸ ၸ /ፂ ٿ ᜪ ࠠ ޑ Չ ࣁ ੱ ރ Ǵ ך ॺ ஒ ೭ ᅿ ᆀ ࣁ ష ӝ ࠠ ȐCombined Subt ypeǴ ᙁ ᆀ ADHD -CȑǶ
ADHD- IA Ԝ ᜪ ޑ ٽ ู ݙ ཀ Κ ό ى ੱ ރ ޑ ߄ Չ ࣁ ࢂ ང қ В ფ ǵ ǵ ᚷ ණ ǵ ӧ ݙ Κ ܈ ᒧ ܄ ݙ ཀ ΚȐ வ ό ख़ ा ޑ ૻ ৲ ύ ၸ ᘠ р ख़ ा ޑ ȑ Ԗ ֚ ᜤ ǵ ᄌ ޑ ૻ ৲ ೀ ᐕ ำ ǵ Ј ඵ ֚ ൽ Ϸ ష ౄ ǵ ޗ Ҭ ᓉ ӵ З Н ǵ ࢲ ໆ ե ǵ வ Ꮻ ύ ග ڗ ૻ ৲ ό ठȐ ඁ ࣓ ǵ ᇳ ৎ ธ Ǵ 2001ȑǶό ݙ ࡰ ݙ ཀ Κ ό ύ ӧ ڰ ۓ Б ӛ ᆶ Ҟ Ȑ ླྀ Ў ǵယ ᓉ Д Ǵ 2005ȑǴ ځ ᝄ ख़ ำ ࡋ ᇻ ຬ ၸ Γ Ǵ Ъ ԋ ғ ࢲ ǵ Ꮲ ܈ ᙍ ߄ ख़ ε ቹ ៜ Ǵ ځ Ь ा Չ ࣁ ቻ х ࡴ Ǻ ؒ Ԗ ݙ ཀ ᠋ Ǵ ό ܰ ᒥ Ӻ ࡰ Ң Ǵ ჹ ሡ ा
ύ ᆒ ઓ ޑ π բ ό ܰ ᆢ ݙ ཀ ΚǴ᎙ ᠐ ਔ த த ב ᠐ ډ ব ္Ǵב ᠐ ၸ ޑ ܿ ՋǴ த ሡ ा ख़ ཥ ᎙ ᠐Ǵಥ ጕ Ъ ӳ Ⴝ ࡐ ጋǴӳ Ⴝ ӧ қ В
ფǴ ค ݤ ໒ ۈ Չ π բ Ǵ ค ݤ ֹ Ӧ ֹ ԋ բ Ǵ ܰ ག ډ ค ಠ Ǵ த ࡐ ᚷ ණǴኧ Ꮲ ၮ ᆉǵ ӷǵቪ բ ೕ ߾ ܈ ε ቪ Ϸ ᗺ ಄ ဦ த ౧ ۹ р ᒱǴ Ꮲ ಞ מ ѯ ࡐ ৡǴό ठ ޑ ߄ Ǵష Ǵҧ Ο ပ ѤǴפ ό ډ ൔ ܈ ਜ ҁ Ǵ ਫ य़ ǵ ਜ х ނ ᘕ ё ૈ ߚ த ঐ Ǵ લ Ю ܈ ֹ ӄ ؒ Ԗ ਔ ໔ ᢀ ۺ Ǵ ଼ ב Ǵ ό ܰ Ր ٣ Ƕ
ADHD-C ٽ ู ନ Α ॊ ޑ Չ ࣁ ቻ Ѧ Ǵ ᗋ х ࡴ Α ӧ ၸ /ፂ ޑ ߄ ǵϷ ᝄ ख़ ำ ࡋ ᇻ ຬ ၸ ΓǴЪ ԋ ғ ࢲǵᏢ ܈ ᙍ ߄ ख़ ε ቹ ៜǴ ၸ ѝ ٽ ู ច ό ӼǴ ፂ ߾ ࢂ ࡰ ၸ ז ک ؒ Ԗ Ե ቾ ൩ Չ Ǵ ٽ ู த ӧ ҂ ᇡ మ ୢ ᚒ ൩ ᇥ р เ ਢ Ȑ ླྀ Ў ǵ ယ ᓉ Д Ǵ2005ȑǴ ځ Ь ा Չ ࣁ ቻ х ࡴ Ǻ ค ݤ ֤ ό Ǵ ፯ ǵ Ҕ ဌ ᇸ ᄟ Ӧ ݈ ǵ Ҕ Ћ ࡰ ᄟ Ѻ ނ ᡏǴ֤ ҥ ό ӼǴވ ᚈ ЋǴᇙ ό ܈ ڻ ܁ ޑ Ꮣ ॣǴو ٰ و ѐ Ǵ ߟ Ε ځ д Γ ޑ ޜ ໔Ǵၸ ࡋ ᇥ ၉Ǵ த ό Ӧ ಥ α ᇥ р เ ਢǴค ݤ ࡑǴ
த Ѻ ᘐ ձ Γ ᇥ ၉ Ǵ ค ݤ ᡣ ᚈ Ћ Ӽ ᓉ Π ٰ Ǵ གྷ ा ޑ ܿ Ջ ҥ څ ൩ ा ள ډ Ǵ Ѻ ઇ ܿ Ջ Ǵ ޕ ၰ ೕ ߾ Ϸ ࡕ ݀ Ǵ ՠ ϝ ख़ ፄ ҍ ᒱ Ǵ Ӣ ࣁ ค ݤȨ Ӄ ଶ Π
ٰ གྷ གྷ ȩԶ ཅ ഞ ྠ Ǵ ό ং ࡰ Ң ൩ ໒ ۈ π բ Ǵ ц ߦ ֹ ԋ π բȐ ձ ࢂ ค ಠ ޑ π բ ȑǴό ਔ ໔ অ ׯ բ Ǵ ܰ ᐟ ࡗ Ǵ഻ ࡗ ค தǴ ܰ ݪ
഼ Ǵ ܰ Ѩ ѐ ڋ Ǵ ό ܰ ௗ ڙ ᡂ ϯ Ǵ ޗ מ ѯ ό ԋ ዕ Ǵ ค ݤ ࣁ ߏ ය Ҟ
܈ ൔ ၿ Զ ո Κ Ƕ
Զ ਥ Ᏽ ᆴ ԟ Ȑ2002ȑ ޑ ࣴ ز Ǵ ஒ ADHD ޑ Չ ࣁ ቻ ϩ ࣁ Ѧ ᡉ
܄ Չ ࣁ ǵ ϣ ᡉ ܄ Չ ࣁ ǵ ӧ ਠ Չ ࣁ Ϸ Γ ሞ ᜢ ߯ Ǵ а Ϸ ځ д ୢ ᚒ Չ ࣁ Ƕ Ѧ ᡉ ܄ Չ ࣁ х ࡴ Ǻ ୢ ᚒ Չ ࣁ Ǵ ᇥ ᖲ ǵ Ѻ Γ ǵ ୂ ᠷ ǵ ઇ ᚯ Չ ࣁ… Ƕ ϣ ᡉ ܄ Չ ࣁ х ࡴ ي ᡏ ϯ ੱ ރǵ ᆣ ό ᛙǵኁ ᢠ Ƕӧ ਠ Չ ࣁ Ϸ Γ ሞ ᜢ
߯ ߾ ࢂ Ꮲ ಞ ԋ ᕮ ৡǵΓ ሞ ϕ ό ٫Ǵа Ϸ ځ д ୢ ᚒ Չ ࣁǴӵ ᅵ ୢ ᚒǵ ࠈ Ћ ࡰ ǵ ᇥ ၉ ᄌ Ƕ
ᆕ ӝ а ܌ ॊ Ǵ ݙ ཀ Κ ό ى ࠠ ک ష ӝ ࠠ ADHD ٿ ᜪ ঁ ਢ ޑ ࣬ ౦
܄ ӧ ܭ ǴADHD -IA Ь ा р ݙ ཀ Κ ό ى ੱ ރ Ǵ Զ ADHD -C ߾ ࢂ р ၸ /ፂ ੱ ރ Ѧ ᗋ х ࡴ ݙ ཀ Κ ό ى ޑ Չ ࣁ ߄ Ǵ ฅ Ǵ ೭ ٤ ੱ ރ Ӣ Γ Զ ౦ Ǵ ځ р ੱ ރ ᆶ ԃ इ ǵ ܄ ձ Ԗ ࣬ ᜢ Ǵ ӵ ζ ғ Ǵ ၨ த р ݙ ཀ Κ ό ى ᜪ ࠠ ޑ ੱ ރǴت ғ ߾ ࢂ ၨ த р ፂ ၸ ޑ ੱ ރǴՠ ଯ ԃ ભ Ꮲ ғ Ǵ ځ ၸ Չ ࣁ ς ᄌ ᄌ ၨ Ͽ Ƕ
Ѥ ǵġ ݙ ཀ Κ લ ഐ ၸ ੱ ϐ Ӆ ੰ ੱ
ADHD ٽ ู ڙ ډ ό ݙ ཀǵፂ ǵၸ Ο ε Ь ा ੱ ރ ޑ ቹ ៜǴԶ ԋ Ꮲ ਠ Ϸ ӕ Ꮖ ໔ǵৎ Ϸ ঁ Γ ޑ ф ૈ લ ѨǶӧ Ꮲ ਠ Б य़ǴADHD ٽ ู ӧ Ꮲ ಞ ም ᛖ(Learning Disabilities)ޑ Ӆ ੰ ၨ ଯ Ȑ ᒲ ࣿ ዠ ǵ ླྀ ಹ ک Ц ҏ ስ Ǵ2005ȑǴDupaul ک Stoner(2003)ว ऊ Ԗ ϖ ϩ ϐ ډ Ο ϩ ϐ ޑ ADHD ٽ ู Ԗ Ꮲ ಞ ም ᛖ Ƕ җ ܭ д ॺ К ٽ ู ӧ ᆒ ઓ ک Ꮲ ಞ ም ᛖ Ԗ ၨ ଯ ޑ ੰ ᄊ Ǵ Ԗ Ꮲ ޣ ᇡ ࣁ ࢂ ၸ Ϸ ό ݙ ཀ ԋ ADHD ٽ
ู ค ݤ ݙ ӧ Ꮲ ਠ ፐ Ϸ ᇡ ޕ ф ૈ ෳ ᡍǴࡺ ԋ Ꮲ ಞ ޑ ም ᛖ Զ ቹ ៜ Ꮲ ԋ ൩ȐDulcan, et al., 1997; Erhardt and Hinshaw, 1994ǹKaplan and Sadock, 1998ǹ ڬ ҅ অ Γ Ǵ2007ǹ ླྀ Ў ǵ ယ ᓉ Д Ǵ2005ȑǶ
Զ KlimkeitΓ(2006)Ψว೭ ٤ ߙϿԃޑޗکྎ೯מѯܴᡉեܭ҅த
ޑߙϿԃǴӢԜคݤکӕᏆޑྎ೯Ǵ܈Ԗ࣬ೀޑ֚ᜤǶADHD ҁ ي ޑ װ ᔐǵፂ ک ό வ ೕ ߾ ϐ Չ ࣁ Ӣ નǴΨ ܰ ว ғ ޗ Ҭ ም ᛖ ܈ ԋ ӕ Ꮖ ܔ ๊ ޑ (Dulcan, et al., 1997; Erhardt and Hinshaw, 1994; Kaplan and Sadock, 1998)Ƕ
ନ Α ӝ ٳ Ꮲ ಞ ም ᛖ ϐ ѦǴӧ ӭ ࣴ ز ύ ว ǴADHD ᆶ ӝ ٳ ੱ ࣁ ჹ ҥ ܄ ϸ ל ᆶ ࠔ Չ ੯ ȐOppositional Defiant DisorderǴᙁ ᆀ ODD ک Conduct DisorderǴ ᙁ ᆀ CDȑ ޑ Ӆ ੰ ᐒ ࣬ ଯ(Biederman, Newcorn
and Sprich, 1991; Fischer, Barkley, Edelbrock and Smallish, 1990; Pfiffner , et al., 1999; Wilens, et al., 2002)Ǵ ೭ ٤ Ꮲ ޣ ޑ ࣴ ز Ψ ࡰ р ೯ த ADHD ӝ ٳ ODDޑ ٽ ูǴӕ ਔ ׳ ڀ Ԗ ၨ ଯ ޑ Ӓ ᓀ р C D(Farrington, Loeber, and Van Kammen, 1990)Ƕ
ADHD ٽ ู ӧ ߙ ࡾ ය ऩ р C D ܈ ODDǴ ߾ ډ Α ԋ ԃ ය Ψ ܰ р
ϸ ޗ ࠠ Γ ၴ த ȐAnti -social Personalit y DisorderǴ ᙁ ᆀ APSȑǴ Hinshaw, Heller ک McHale(1992)Ψ ᇡ ࣁ ADHD ޑ ߙ Ͽ ԃ К ٽ ู ߄ р Ԗ ၨ ӭ ޑ ϸ ޗ Չ ࣁ Ǵ Ъ ڀ Ԗ Ӆ ӕ ੰ ᄊ ޣ ׳ ࣁ ᝄ ख़ Ƕ ਥ Ᏽ Barkle y DuP aulک McMurr y Γ(1990)ޑ ߏ ය ࣴ ز ว ADHDߙ Ͽ ԃ Ӣ Ԝ р ၴ ೕǵ ҍ ݤ ࡓ ܈ ҍ Չ ࣁǴх ࡴ ֎ ྟǴނ ፦ ᔲ Ҕ(Substance Abuse)ک ഀ ଚ Ǵ җ ܭ ADHD ٽ ู ܰ ፂ ᆶ ӳ ڻ Ǵ Ӣ Ԝ ၨ ӕ ԃ ស ޑ ٽ ู ׳ Ԑ ௗ ނ ፦ ܈ ߚ ݤ ᛰ ނǴ೭ ٤ ߙ Ͽ ԃ Ꮲ ਠ ୌ з ᙯ ᏢǴ܈ ፷ Ꮲ ޑ К ٯ Ψ ଯ ܭ ߚ ADHD ޑ Ꮲ ғ Ƕ
ቹ ៜ ADHD ঁ Γ ϩǴԖ ࣴ ز ࡰ р Ԗ 6-20%ޑ ู ߏ ε ࡕǴК
Γ ᗋ ा ё ૈ Ԗ ኁ ᢠ ੱ(Depression)ޑ К ٯ ٰ ޑ ଯ Ƕ Զ ೯ த ኁ ᢠ ޑ
ੰ Γ Ψ த р ข ቾ ޑ ੱ ރ Ǵ Զ ข ቾ ޑ ੰ Γ த р ኁ ᢠ ੱ ރ(Butler and Nemeroff, 1990; Cheng, 1989; Whittchen and Essau, 1993)Ƕ ߏ ය ᕵ ೣ ޑ ࢬ Չ ੰ Ꮲ ࣴ ز Ψ ࡰ р ข ቾ ᆶ ኁ ᢠ த ӝ ٳ р Ǵ܈ ࢂ Ӄ ࡕ р (Angst, Vollrath, Merikangas and Earnest, 1990; Kessler and McGonagle, et al.,1994)ǹӢ ԜǴADHD ޑ ข ቾ ੱ(Anxiet y Disorder) ӵǺၨ ১ ༈ ޑ ဂ ޑ Ӆ ੰ ᐒ ࣬ ଯǴё ૈ ࢂ Ꮲ ਠ ޑ Ѝ ک Դ ৣǵӕ Ꮖ ໔ ޑ ௗ ڙ ࡋ ၨ ৡǴ܈ ࢂ ৎ ᕉ ნ ک Р ҆ ૈ ๏ ϒ ޑ ᔅ Ԇ ᆶ ڐ շ ၨ ό ىǴᏤ ठ ᓸ Κ ၨ ε Ƕ
ִ ྷ М ੱ Ψ ࢂ ADHD த ـ ޑ Ӆ ੰ ੯ ੰ Ƕ ऊ Ԗ 5-20%ޑ ADHD Ք ᒿ Ԗ ִ ྷ М ੱ Ǵ ՠ ִ ྷ М ੱ ޑ ဂ ္ э Ԗ 50%ޑ ଯ К ٯ ࣁ ADHDǶ
Ԗ ൔ ࡰ р 16%ޑ ADHD ޣ Ԗ ၨ ଯ ޑ ᐒ Ԗ ច ੱ ܈ ᚈ ཱུ
܄ ག ੯ Ǵ ՠ ADHD ޑ ࠸ η ࢂ வ λ ൩ ុ Ԗ ϩ Ј ǵ ၉ ӭ ǵ ࢲ ໆ εǵ ᆣ ڋ ό ٫ ک Ծ ڒ ޑ Ǵច ᢠ ੱ ߾ ࢂ ତ ว ܄ ᆣ ଯ ܳǵᅵ ሡ ෧ ϿǴ၉ ӭ ᆶ ѳ த ق Չ ߄ ό ኬ ޑ ੱ ރǴࡺ ບ ᘐ Ԗ ځ ֚ ᜤ
ೀ Ǵ ܌ а ሡ ा λ Ј ᠘ ձ ບ ᘐ(Biederman , et al., 1991)Ƕ
Huang ک Chen Γ(2004); Gau(2006); Gau ک Kessler Γ(2007) ޑ ࣴ ز ύǴࣣ ᇡ ࣁ ADHD ޑ ᅵ ም ᛖ(Sleep Disorder)К ҅ த ٽ ู ک ߙ Ͽ ԃ ٰ ޑ ӭǶԖ ࣴ ز ว ᅵ ڥ ֎ ύ З ੱ(Sleep Apnea)ک ତ ว ܄ ަ ᡏ ܜ ੱ(periodic leg movement disorder)Ǵ ᆶ ݙ ཀ Κ ό ύ ǵ ၸ ǵ Ꮲ
߄ ৡ Ϸ װ ᔐ Չ ࣁ ǵ қ Ϻ གྷ ᅵ ǵ ᆒ ઓ ό ᔮ ࢂ ࣬ ᜢ ޑ( Huang and Guilleminault , et al., 2007; C hervin, Dillon, Bassetti, Ganocz y and Pituch, 1997; Chervin, Hedger, Dillon and Pituch, 2000; Chervin and Archbold, 2002; Cortese and Ruzicka, et al., 2006)Ƕ
ᆕ ӝ а ܌ ॊ Ǵ ᆶ ADHD Ԗ ᜢ ޑ Ӆ ੰ ੱ Ь ा Ԗ Ꮲ ಞ ም ᛖ ǴODD ک CDǴ ኁ ᢠ ੱ ک ข ቾ ੱ Ǵ ܜ ┢ Ǵ ִ ྷ М ੱ Ǵ ᚈ ཱུ ܄ ག ܄ ੯ ک ᅵ
ም ᛖ Ƕ ڂ ࠠ ޑ ADHD Ԗ ݙ ཀ Κ ό ى ǵ ፂ ǵ ၸ Ο ε ቻ Ǵ ჹ ܭ
ঁ ADHD ޑ ٽ ู ٰ ᇥ Ǵ ೭ Ο ε ቻ Ԗ ᇸ ख़ ϐ ձ Ǵ ό ᆅ ࢂ ઓ ှ ও Ꮲ Ӣ નǴ܈ ࢂ ᒪ Ӣ ηǵᕉ ნ ቹ ៜ চ ӢǴ Ѭ ж ߄ ઓ ᆶ ᆒ ઓ ੰ ޑ ᜢ ೱ ܄ ᆶ ፄ ᚇ ܄ǴΨ ϸ ᔈ Α ғ ނ Ӣ ન ᆶ ᕉ ნ Ӣ ન ϕ ޑ ่ ݀ǶӢ ԜǴ
ᚶ ᅪ Һ Ֆ ё ૈ ࢂ ADHD ޑ ٽ ู ਔǴ ሡ ा җ ᆒ ઓ ࣽ ᙴ ৣ ዴ ບ Ǵ ٠ Ъ ٩ ྣ ԃ ស Ϸ ό ӕ ᕉ ნ Π ޑ Չ ࣁ ߄ Ǵ ᒧ ޑ ݯ ᕍ ᆶ ೀ ၶ Б Ԅ Ǵ а Π ࢂ Ԗ ᜢ ADHD ޑ ݯ ᕍ Б Ԅ Ƕ
ಃ Β ġݙ ཀ Κ લ ഐ ၸ ੱ ޑ ݯ ᕍ Б Ԅ
Ҟ ჹ ܭ ADHD ޑ ݯ ᕍ Б Ԅ ϩ ࣁ ᛰ ނ Ϸ ߚ ᛰ ނ ݯ ᕍ Ƕ а Π ϣ ϩ ॊ ϐ Ƕ
ǵġ ᛰ ނ ݯ ᕍ
ऍ ୯ १ ࠔ ᛰ ނ ᆅ ֽȐFood and Drug Administ rationǴᙁ ᆀ FDAȑ ਡ ݯ ᕍ ADHD ޑ ᛰ ނ ߚ த ӭ ᅿ ᜪ Ǵ Զ Ҟ Ѡ Չ ࡹ ଣ ፁ ғ ਡ ݯ ᕍ ADHD ޑ ᛰ ނ ϩ ࣁ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ک ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ٿ ޣ Ƕ ύ ኰ ઓ ᑫ Ꮯ Ꮚ Ξ ϩ ࣁ อ ਏ ࠠ ᛰ ނ Ritalin ک ߏ ਏ ࠠ ᛰ ނ C oncertaǹ ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ᛰ ނ Atomoxetine ߾ ࢂ Strattera (American
Academ y of Child and Adolescent Ps ychiatr y, 2002)Ƕ Ԝ Ѧ Ǵ ߚ FDA ਡ
ݯ ᕍ ADHD ޑ ᛰ ނ х ࡴ BupropionǴ Ο ᕉ ל ᢠ ᛰ(TC As)ک alpha-agonistsǶ ځ ϣ ϩ ॊ ӵ Π Ƕ
)* ύ ኰ ઓ ᑫ Ꮯ Ꮚ(C NS stimulants)
ύ ኰ ઓ ᑫ Ꮯ Ꮚ ࢂ ݯ ᕍ ADHD ޑ ಃ ጕ Ҕ ᛰǴࢂ ܌ Ԗ ӧ ݯ ᕍ ADHD ύ ന Ӽ ӄ ޑ ᛰ ނ Ǵ Ъ ό ౢ ғ Չ ࣁ ޑ ୢ ᚒ Ǵ ӵ Ҙ ୷ श Ȑmeth ylphenidateǴᙁ ᆀ MP HȑǴѓ Ӽ ߚ д ڮ(dextroamphetamine) Ϸ P emoline Ƕᗨ ฅ ѓ Ӽ ߚ д ڮ ឦ ܭ ߏ ਏ ࠠ ᛰ ނǴሽ ߡ ە Ǵ ٠ ё ෧ Ͽ Ҕ ᛰ ԛ ኧ Ǵ ՠ ܰ ԋ ᔲ Ҕ ǵ ғ ߏ ᒨ ǵ १ ኅ ό ਁ ǵ ம ॐ Չ ࣁ… ୋ բ Ҕ Ǵ Ӣ Ԝ ࡐ ӭ ୯ ৎ ۘ ҂ ӕ ཀ ٬ Ҕ Ԝ ᛰ Ƕ ќ Ѧ Ǵ Pemoline Ψ ࢂ ឦ ܭ ߏ ਏ ࠠ ᛰ ނǴЪ ࡐ Ͽ Ӣ ࣁ ᔲ Ҕ Զ ᠅ ޑ ύ ኰ ઓ
ᑫ Ꮯ Ꮚ Ǵ ѝ ࢂ ୯ ϣ ٠ ؒ Ԗ Ԝ ᜪ ᛰ ނ Ǵ ӧ Ѡ ਡ ٬ Ҕ ޑ ѝ Ԗ MPHǴӢ Ԝ а Π ѝ ଞ ჹ ߏ ਏ ࠠ ᛰ ނ C oncerta ک อ ਏ ࠠ ᛰ ނ R italin բ ௶ ॊ Ƕ
MPH ޑ բ Ҕ ᐒ ᙯ ࢂ ቚ у ӭ Ѓ ữ ᆶ ҅ ဏ ન ٿ ᅿ ඓ ᆅ ݙ ཀ Κ ύ ޑ တ ઓ Ꮴ ނ ፦ ޑ ࢲ ៌ ܄ Ǵ ග ϲ ݙ ཀ Κ ǵ ׯ ๓ ᇡ ޕ ܄ ፂ
ǵ ቚ อ ය Ꮻ ǵ ᔅ շ ᇟ ق ܄ ܈ ߚ ᇟ ق ܄ Ꮲ ಞ ф ૈ ޑ ਏ ݀ Ǵ ׯ ๓ ADHD ޑ ਡ Ј ੱ ރ ϐ ѦǴᗋ ׯ ๓ Α ߏ ය Ꮲ ޑ ߄ Ϸ ޗ מ ѯ ޑ Ƕ ᙁ ൂ ٰ ᇥ Ǵ ӧ ަ ᡏ բ ǵ ޗ Ҭ Б य़ ǵ ᇡ ޕ Б य़ Ԗ ׯ ๓ ޑ ਏ ݀ Ǵ ϣ ӵ Π Ǻ
1. ӧ ަ ᡏ բ Б य़ ޑ ਏ ݀ Ȑ1ȑġ ෧ Ͽ ࢲ ໆ Ƕ
Ȑ2ȑġ फ़ ե ၉ ӭ ǵ Ꮅ Ϸ υ ᘋ ፐ ޑ Ƕ Ȑ3ȑġ ׯ ๓ ቪ ӷ ރ ݩ Ƕ
Ȑ4ȑġ ׯ ๓ ᆒ ಒ բ ڋ ૈ Κ Ƕ 2. ӧ ޗ Ҭ Б य़ ޑ ਏ ݀
Ȑ1ȑġ ෧ Ͽ ӧ ௲ ࠻ ޑ ό Չ ࣁ Ƕ Ȑ2ȑġ ׯ ๓ ၯ ᔍ Ϸ ᐱ ҥ π բ ޑ ૈ Κ Ƕ Ȑ3ȑġ ෧ Ͽ ว ޑ Ƕ
Ȑ4ȑġ ෧ Ͽ ᐟ ਗ਼ Չ ࣁ Ƕ Ȑ5ȑġ ׯ ๓ ࢲ ޑ ୖ ᆶ ࡋ Ƕ
Ȑ6ȑġ ෧ Ͽ ᆶ ӕ Ꮖ ໔ ޑ ᐉ ៙ ၰ Չ ࣁ Ȑ7ȑġ ෧ Ͽ ჹ ӕ Ꮖ ޑ ᇟ ق Ϸ ي ᡏ װ ᔐ Ƕ Ȑ8ȑġ ෧ Ͽ ፂ ୂ ܿ Ջ ޑ Չ ࣁ Ƕ
Ȑ9ȑġ ෧ Ͽ ჹ ε Γ ޑ ჹ ҥ Ϸ ϸ ל Չ ࣁ Ƕ
3. ӧ ᇡ ޕ Б य़ ޑ ਏ ݀
Ȑ1ȑġ ׯ ๓ ݙ ཀ Κ ޑ ុ ࡋ Ȑ ձ ࢂ ჹ ค ಠ ޑ π բ ȑǶ Ȑ2ȑġ ෧ Ͽ ϩ Ј Ƕ
Ȑ3ȑġ ׯ ๓ อ ය Ꮻ Κ Ƕ Ȑ4ȑġ ෧ Ͽ ፂ ܄ Ƕ
Ȑ5ȑġ ቚ у ᇡ ޕ ౣ ޑ ٬ Ҕ Ƕ Ȑ6ȑġ ቚ у Ꮲ ਠ ፐ ޑ ֹ ԋ Ƕ Ȑ7ȑġ ቚ у Ꮲ ф ፐ ޑ ҅ ዴ ܄ Ƕ
Barkle y(1990)ග ډ 73-77%Ԗ ADHD ੱ ރ ޑ ٽ ู ӧ ܺ Ҕ ೭ ٤
ᛰ ނ ࡕ Ԗ ҅ ӛ ޑ ϸ ᔈǴԶ Ъ ၸ ৎ ߏǵԴ ৣ ܈ ᙴ ৣ ຑ ໆ ADHD ٽ
ู Չ ࣁ Ԗ ᡉ ޑ ׯ ᡂǶΨ Ԗ ࣴ ز ว ADHD ޑ ت ู ӧ ٬ Ҕ MPH ࡕ Ǵ ܴ ᡉ ෧ Ͽ Α ϸ ޗ ܄ Չ ࣁ(Hinshaw, Heller and McHale, 1992)ǶGrangerǵWhalen ک Henker(1993)ଞ ჹ ADHD Ҕ ᛰ ނ ޑ ࣴ ز Ψ ว ǴADHD ޑ ߙ Ͽ ԃ ٬ Ҕ MP H ࡕ Ǵ ӧ װ ᔐ ǵ υ ᘋ Ϸ ၴ ל Չ ࣁ Б य़ Ԗ ᡉ ޑ ׯ ๓ ǶGreenhill(2002)ӧ ჹ ࠸ ู Ϸ ԋ Γ ܌
Չ ޑ ᚈ ޓǵӼ ኃ Ꮚ ჹ ྣ ၂ ᡍ ύ ว ǴԖ 65%ډ 75%ޑ ADHD ঁ ਢ ჹ ᑫ Ꮯ Ꮚ ݯ ᕍ Ԗ ϸ ᔈǶConnor(2002)ග ډ ٬ Ҕ MP H ݯ ᕍǴё ׯ ๓ ADHD ޑ ࡷ ᢂ Չ ࣁ Ϸ ϸ ޗ Չ ࣁǶΨ Ԗ ύ ኰ ک ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ޑ λ ࠠ ࣴ ز ᡉ ҢǴอ ਏ ࠠ MP HϷ ߏ ਏ ࠠMP Hޑ Ԗ ਏ ำ ࡋ(effect size)ࣁ 0.91 ک 0.95 ࣬ ၨ ଯ ܭ Atomoxetine ޑ 0.62 Ԗ ਏ ำ ࡋ
(Faraone, Spencer, Aleardi, P agano and Biederman, 2003)Ƕ
Michelson ک Buitelaar Γ(2004)Ψ ᇡ ࣁ MP H К Atomoxetine ڀ Ԗ ၨ ε ޑ ݯ ᕍ բ ҔǶࡺ ε ϩ ޑ ࣴ ز ޣ ठ ᇡ ࣁ ᑫ Ꮯ Ꮚ ࢂ ADHD ٽ ู ၨ ӳ ޑ ᛰ ނ Ƕ
ߏ ਏ ࠠ MP HǴ ځ ᛰ ਏ ё ុ ऊ 12 λ ਔ Ǵ ᖏ ߏ ਏ ࠠ MPH18mg ޑ ᕍ ਏ ᆶ Ӽ ӄ ܄ ܭ อ ਏ ࠠ MPH4mg ޑ ᕍ ਏ Ϸ Ӽ ӄ ܄ (Wolraich and Greenhill, et al.,2001; P alumbo, Spencer, Lync h , Co-Chien and Faraone , 2001)Ǵ ӧ ୯ ϣ ѳ ֡ В ٬ Ҕ Ꮚ ໆ ࣁ 26.7
±18.8 mg(Gau, C hiu, Tsai and Soong, 2004)Ǵ Զ Ѡ ӧ ݯ ᕍ 5-18
ྃ ADHD ޣ ޑ В ࡌ Ҕ ໆ ࣁ 18-36mg (Gau, S heng, Soong and Gau, 2006)Ǵ ೯ த ࣁ Ԑ Ꮲ ܺ Ҕ ᗭǶ ᗨ ฅ MPH ന த р १ ኅ ෧ ଏ ǵ ग ภ ǵ Ѩ ǵ ᓐ ภ ǵ ܰ ࡗ ϐ ᇸ ࡋ Կ ख़ ࡋ ό ޑ ୋ բ Ҕ Ǵ ՠ ᒿ Ꮚ ໆ ޑ ෧ Ͽ ܈ ύ З ё ှ ځ ੱ ރ Ƕ ฅ Զ Ǵ Ԝ ᛰ ނ ٠ ό ϼ ԋ ᡏ న Ѩ ፓ ǵ ྠ ច ό Ӽ ǵ ቚ у ึ ॐ Չ ࣁ Ȑ ӵ ࡩ ሷ Ͼ ܈ Ҝ ጥ ȑ Ƕ
ଯ Ꮚ ໆ ޑ ٬ Ҕ ё ૈ ԋ Ј Ո ᆅ ڙ ཞ ǵ ύ ኰ ઓ س ڙ ཞ ǵ ଯ Ո ᓸ Ϸ ၮ ᐒ ૈ р ୢ ᚒ ޑ ୋ բ Ҕ Ǵ ӧ ௗ ߈ ύ ࢥ Ꮚ ໆ ਔ Ǵ ё ૈ Ԗ ኁ ᢠ ǵ ܜ ┢ ǵ ୃ ئ ǵ Є གྷ ੱ ǵ ڥ ֎ ڋ ܈ ܶ Ԗ ठ ԝ ޑ ё ૈ
܄ Ƕ Ԗ ࣴ ز ว Ԗ Ο ϩ ϐ ޑ ޣ Ԗ ॊ י ᘐ ϐ ϸ ᔈ(Riccio, Waldrop, R e ynolds and Lowe, 2001)Ƕ
อ ਏ ࠠ Ritalin Ϻ ܺ Ҕ ޑ Ꮚ ໆ ຎ ADHD ޑ ᝄ ख़ ࡋ Զ ۓ Ƕ ӧ Ѡ อ ਏ ࠠ MP H В ܺ Ҕ3ԛǴ ԛ ࣁ 5-10mgޑ Ꮚ ໆ(Gau, et al., 2006)Ƕ Զ FDA ٬ Ҕ MP H ന ε Ꮚ ໆ ࣁ В 60mgǴ ᡏ ख़ ε ܭ 50kg
ޣ В ࣁ 100mgǴ ӧ ୯ ϣ 8 ྃ ǵ10 ྃ ǵ16 ྃ ޑ ADHD ޣ ѳ
֡ В Ꮚ ໆ ϩ ձ ࣁ 20m gǵ30m gǵ50m g(Gau, 2004)Ǵ ω ૈ ڋ ADHD ޑ ੱ ރ Ƕ ໒ ۈ ᒧ ۓ Ꮚ ໆ ࡕ Ǵ ډ Ο ຼ ࡕ ᙴ ৣ җ ե Ꮚ ໆ ӛ ፓ Ǵޔ Կ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ޑ ന ε Ꮚ ໆǴ܈ ADHD ੱ ރ ޑ ෧ ᇸǴԶ ࡕ ٩ ޣ ࢃ ය ޑ ϸ ᔈ Ϸ ୋ բ Ҕ բ ፓ (Vitiello and Sever, et al., 2001)Ǵ೯ த ୋ բ Ҕ ុ ኧ ຼǴ த ـ Ԗ १ ኅ ෧ ଏǵग ภ ǵ ᓐ ภ ǵ ྠ ច ό Ӽ ǵ ⧋ Ј Ǵ ऩ ࢂ ࡕ ܺ Ҕ ߾ ૈ ෧ Ͽ ⧋ Ј ག Ǵ ܈
ࢂ ӧ ଷ В ܈ ൣ ප ଷ ਔ ෧ ᇸ Ꮚ ໆ Ǵୋ բ Ҕ Ӣ Ꮚ ໆ ޑ ෧ ᇸ Զ ෧ Ӛ ᅿ ό ϐ ੱ ރ Ƕ
)Β* ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ(Non -CNS stimulants)
ᜪ ל ᢠ Ꮚ Atomoxetine ӧ 2003 ԃ FDA ਡ Ҕ ܭ ԋ Γ Ϸ ٽ ู ADHDǴ Ѡ ߾ ࢂ ӧ 2007 ԃ ਡ ٬ Ҕ Ǵ ٠ ஒ ᛰ ނ ય Ε ύ ѧ
଼ ߥ ֽ ݯ ᕍ ADHD ޑ ๏ б(݅ ల ǵ ఉ ᑯ Ў ǵ ન ᑯ ǵ ߋ ల Ǵ 2009)ǶAtomoxetine ߚ ᆅ ڋ ᛰ ࠔ Ǵ ሦ ᛰ ਔ ό ሡ ᛝ ᆅ ڋ ᛰ ࠔ ӕ ཀ ਜ Ƕ ځ բ Ҕ ᐒ ᙯ ࢂ ᙖ җ ڋ ҅ ဏ ન(norepinephrine)ӆ ֎ ԏ Ǵ ቚ у ҅ ဏ ન ӧ ઓ ಒ झ ँ ໔ ሜ ޑ ᐚ ࡋǴၲ ډ ݯ ᕍ ADHD ޑ ਏ ݀(Michelson and Allen, et al., 2002)Ƕ
Ԗ ࣬ ᜢ Atomoxetine ࣴ ز ᡉ Ң Ǵ ӧ ݯ ᕍ ADHD ޑ ٽ ู ǵ ߙ Ͽ ԃ Ϸ ԋ Γ ޑ ਏ ݀ К Ӽ ኃ Ꮚ ٰ ޑ ٫ (Michelson and Adler, et al., 2003; Michelson and Allen, et al., 2002; Michelson and Faries, et al., 2001)Ǵ٠ Ъ ૈ Ԗ ਏ ޑ ݯ ᕍ ٽ ูǵߙ Ͽ ԃ Ϸ ԋ Γ ADHD ݙ ཀ Κ લ ཞ ǵ ၸ Ϸ ፂ ϐ ਡ Ј ੱ ރ(Michelson and Faries, et al., 2001;
Michelson and Allen, et al., 2002)ǶԶ ୯ ϣ Gau ک Huang Γ(2007) ଞ ჹ 106 Տ 6-15 ྃ ADHD ޣ ޑ ᚈ ޓ ᒿ ᐒ ᛰ ނ ၂ ᡍ Ǵ Ψ ว Atomox etine ࢂ ᅿ ऐ ڙ ܄ ؼ ӳ Ǵ Ъ ᓬ ܭ Ӽ ኃ Ꮚ ޑ ᛰ ނ Ƕ Ԝ Ѧ Ǵ ࡐ ӭ ߏ ය ޑ ᖏ ࣴ ز ൔ Ψ ᡉ Ң Atomoxetine ё ׯ ๓ ڙ ཞ ф ૈ Ǵ Ϸ Ᏹ Ԗ ၨ ӳ ޑ ғ ࢲ ࠔ ፦ ک Ӽ ӄ ܄(Kratochvil and Wilens, et al., 2006)Ƕ ᗨ ฅ ۘ ҂ Ԗ Ᏽ ᡉ Ң Atomoxetine ё а ݯ ᕍ ख़ ᢠ ੱ Ǵ ՠ Ԗ ݯ ᕍ ADHD ӝ ٳ ข ቾ ੱ ޣ ޑ ࣬ ᜢ ࣴ ز ᡉ Ң Ǵ Ԗ ቶ ݱ ܄ ข ቾ ੱ (generaliz ed anxiet y)Ǵ ϩ ᚆ ข ቾ(separation anxiet y)܈ ޗ Ҭ ৮ ܀ ੱ
(social phobia) ޣ ӧ 12 ຼ ޑ Atomoxetine ݯ ᕍ ࡕ Ǵ ܴ ᡉ ׯ ๓ Α ADHD ੱ ރ Ϸ ข ቾ ੱ ރ(Sumner and Donnelly, et al., 2005)Ƕ KratochvilǵNewcorn ک Arnold(2005)Ψ ග ډ ADHD ޣ ٳ Ԗ ข ቾ ک ኁ ᢠ ੱ ރ ਔ ǴAtomoxetine ࢂ ଆ ۈ ᛰ ނ ݯ ᕍ ޑ ന ٫ ᒧ Ƕ
ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ૈ ᙴ ৣ ೀ Б ٬ Ҕ Ǵ Զ ӭ ኧ ٽ ู Ϸ ߙ Ͽ ԃ
ሡ В ܺ ᛰ ԛ Ǵ ਥ Ᏽ ऍ ୯ ٽ ู ک ߙ Ͽ ԃ ᆒ ઓ ੰ Ꮲ Ꮲ ȐAmerican Academy of Child and Adolescent P s ychiatr yǴ ᙁ ᆀ AAC APȑ(AACAP, 2007 )ࡌ ݯ ᕍ Ꮚ ໆ ࣁ В Ϧ А 1.2-1.8 m gǴ ᡏ ख़ λ ܭ 70 Ϧ А ޑ ߙ Ͽ ԃǴځ ଆ ۈ Ꮚ ໆ В Ϧ А ࣁ 0.5mgǴ٬
Ҕ 4 Ϻ ࡕ ё ׯ ࣁ В Ϧ А 1mgǴ4 Ϻ ࡕ ӆ ׯ ࣁ В Ϧ А 1.2mgǴ Զ В Ϧ А ന ε Ꮚ ໆ ό ё ε ܭ 1.8mg ܈ 100mgǴ ࡽ ૈ வ Ꮲ ਠ ډ ৎ ္ǵவ қ Ϻ ډ ఁ Ԗ ਏ ڋ ADHD ੱ ރǴቚ у ܺ ᛰ ߡ ճ ܄ Ƕ Զ Gau ک Huang Γ(2007)ޑ ࣴ ز ᇥ ܴ Atomoxetine ٠ ؒ Ԗ Ո ᓸ ک Ј ၢ ୋ բ Ҕ ޑ ቹ ៜ Ǵ ׳ ό ቹ ៜ ط ф ૈ Ƕ ࡺ
Atomox etine த ـ ޑ ᛰ ނ ୋ բ Ҕ ᆶ ύ ኰ ઓ ڈ ᐟ Ꮚ ࣬ ՟ ӵ ग ภ ǵ ᓐ ภ ǵ ⧋ Ј ǵ Ѩ ǵ १ ኅ ෧ ଏ ǵ Ј ௌ Ƕ
)Ο* BupropionǴ Ο ᕉ ל ᢠ ᛰ(TC As)Ǵalpha-agonists
PelhamǵWheeler ک Chronis (1998)ࣴ ز ࡰ р BupropionǴ Ο ᕉ ל ᢠ ᛰ(TC As )Ǵalpha-agonists ځ ᛰ ނ ݯ ᕍ ਏ ݀ ᆶ Չ ࣁ ݯ ᕍ ࣬
Ƕՠ ന ߈ ࣴ ز ว Ԝ ᛰ ނ ݯ ᕍ ޑ Ᏽ ୷ ᘵ ᇻ К FDA ਡ ޑ ᛰ ނ ݯ ᕍ ٰ ள ᖓ ১(Plisz ka, 2003)Ǵ ࡺ ஒ ځ բ ࣁ ݯ ᕍ ADHD ޑ ಃ Β ጕ Ҕ ᛰ Ǵ ܈ ੰ Γ ჹ ύ ኰ ઓ ڈ ᐟ Ꮚ ค ਏ ਔ ک Ԗ ځ д ୋ բ Ҕ ਔ ٬ Ҕ Ƕ а Π ϩ ॊ ϐ Ƕ
1. Bupropion
Buproprion ࢂ ڋ ӭ Ѓ ữ(dopamine)Ǵ ҅ ဏ ન (norepinephrine)а Ϸ Ո మ ન(serotonin)ޑ ӆ ֎ ԏ Ǵ Ъ ࢂ ঁ
ၨ ό ౢ ғ Ј Ո ᆅ Ǵ Ϸ ל ᖌ ᡵ ޑ ҅ ဏ ન ל ኁ ᢠ Ꮚ Ƕ Conners and Casat Γ(1996)ޑ ᒿ ᐒ ᚈ ޓ ک Ӽ ኃ Ꮚ ჹ ྣ ၂ ᡍ
ࣴ ز ග ډ Ǵ Ԝ ᛰ ނ ჹ ADHD ޑ ݯ ᕍ ࢂ ന ڀ ਏ ݀ Ǵ Ѭ फ़ ե ADHD ܈ Չ ࣁ ੯ ੰ Γ ޑ ၸ ǵ װ ᔐ Չ ࣁ а Ϸ ׯ ๓ ᇡ ޕ ф
ૈ Ǵ Ԗ ࣴ ز ᡉ Ң ځ ᕍ ਏ ᆶ ճ д ૈ ኬ(Barrickman, Perr y and Allen, et al.,1995 )Ǵ Ъ ଆ ٬ Ꮚ ໆ ा եȐ ऊ 37.5 ܈ 50mgȑǴ Ϻ ٿ ԛǴऊ ٿ ঁ ࢃ ය ޑ ਔ ໔ ᅌ ቚ у ډ В 250m gȐ ߙ Ͽ ԃ ё а ډ В 300-400 mgȑǶ ՠ җ ܭ Ѭ फ़ ե ᡜ ⻯ ޑ ⸣ ॶ Ǵ Ӣ Ԝ ቚ у Α ᡜ ⻯ ว բǴ܈ ࢂ Ї ଆ ᇸ ༾ ޑ Ѩ ܈ ޣ १ ኅ ό ਁǴа Ϸ ൾ ϯ ό Ծ Ь ၮ ୋ բ ҔǶӢ Ԝ ϩ ໒ Ꮚ ໆ ٬ Ҕ а ෧ Ͽ Ӓ ᓀ ܄ Ƕ
2. Ο ᕉ ל ᢠ ᛰ(TC As)
ٰ ᇥǴל ኁ ᢠ Ꮚ ٬ Ҕ ܭ ኁ ᢠ ੱǴឨ Ꮲ ੱǴว բ ܄ ৮ ཉǴڹ ֿ ੱǴ १ ም ᛖǴΓ ም ᛖǴബ ࡕ ᓸ Κ ም ᛖ ੱ ং ဂ…
Ǵ ԶTCAࣁ ߚFDAЬ ा ݯ ᕍADHDޑ ᛰ ނ Ǵ ՠ ࠅ ࢂ ന த ৾ ٰ ࣴ ز(Dal y and Wilens, 1998)Ǵ Ԗ ᛰ ނ ᔲ Ҕ ޑ ݩǴ܈ ࢂ ٬ Ҕ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ࠅ ؒ Ԗ ᕍ ਏǴϷ Ԗ ᆣ ም ᛖ Ǵ ܜ ┢ Ǵ ִ ྷ М ੱ Ǵ ک ӝ ٳ ኁ ᢠ ੱ ਔ Ǵ ߾ ё ܺ Ҕ Ԝ ᛰ Ƕ
җ ܭ Ԗ ࣴ ز ࡰ р Ǵ ന ࣁ ᖏ ٬ Ҕ ޑImipramineک
nortript ylineǴ ԶImipramineම Ԗ ₽ ԝ ޑ ൔ (Biederman, Thisted, Greenhill and Ryan, 1995; Riddle , Geller and Ryan, 1993)Ǵ Ӣ Ԝ ሡ ा ձ ݙ ཀ ٽ ู ک ߙ Ͽ ԃ ޑ ᕍ ਏ Ϸ Ӽ ӄ ܄ Ǵ
໒ ۈ ٬ Ҕ ᛰ ނ ǴϷ ԛ Ꮚ ໆ ቚ у ࡕǴࣣ ሡ Չ ୷ ᘵ ޑ Ј
ႝ კ(Electrocardiograph yǴᙁ ᆀEC G)ᔠ Ǵӧ ੰ ޑ ᛰ ނ Ꮚ ໆ ᛙ ۓ ࡕǴࣁ ዴ ߥ ؒ Ԗ ӧ ࢥ ܄ ޑ ጄ ൎǴ߾ Չ Ո ύ ᛰ ࠔ ᐚ ࡋ ᔠ ǹ ऩ ς ڋADHDޑ ੱ ރ Ǵ Ъ Ո ύ ᐚ ࡋ ς ե ܭ ኁ ᢠ ੱ ݯ ᕍ ޑ ᐚ ࡋ ጄ ൎǴ൩ ό ሡ ቚ у ᛰ ނ Ꮚ ໆǶ ޣ Ԗ Ј ᠌ Б य़ ޑ ੰ ў ܈ Ј ࡓ ό Ǵ܈ ৎ Ԗ ₽ ԝǵό ܴ চ Ӣ ܶ ॹǵЈ
᠌ ੰ ᡂ ǵ Ԑ ว ܄ Ј ᠌ ੰ ޣ Ǵ ߾ ό ૈ ٬ Ҕ Ƕ Ԝ Ѧ ǴTCAӧ ύ ଯ Ꮚ ໆ Π ँ ฅ ଶ ᛰ ࡕǴ ԋ ᜪ ՟ ག ߵ ޑ ל ᖌ ᡵ י ᘐ ੱ ރǴӵ
⧋ Јǵย ᠱǵჍ ӗǵᓐ ภǵԼ Ժ ภǵޗ ଏ ᕭǵၸ ǵኁ ᢠ ǵ ច ό Ӽ Ϸ Ѩ ຝǴࡺTCAሡ2ډ3ࢃ ය ෧ ໆ ޑ ଶ ᛰ Б Ԅ Ƕ Զ ځ ѬTCAsค ਏ ܈ Ԗ ځ Ѭ ୋ բ Ҕ ਔ Ǵ ѝ ԖDesipramine ω ϒ а ٬ Ҕ Ƕ
ځ д ל ኁ ᢠ Ꮚ ӵ Ո మ ન ӆ ֎ ԏ ڋ Ꮚ ȐSelective
Serotonin reuptake inhibitorsǴ ᙁ ᆀSSR IsȑԖFluoxetineȐ ԭ ኁ ှ ȑǴ а Ϸ ൂ ữ ਼ ϯ ⅋ ڋ Ꮚ ȐMonoamine oxidase
inhibitorsǴ ᙁ ᆀMAOIsȑǴ ޣ ᗨ ฅ ۘ ҂ ჴ Ԗ ݯ ᕍADHD ޑ ᕍ ਏǴ ՠ Ԗ ࣴ ز ஒ Ѭ کRitalinӝ ٳ ٰ ቚ у ݯ ᕍ ਏ ݀ǹ ࡕ ޣ
߾ ࢂ Ԗ १ ޑ ג Ǵ ࡺ λ Ј ٬ Ҕ Ƕ 3. α-҅ ဏ ન ߦ Ꮚ(alpha-agonists)
ჹ ܭ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ܈ ל ኁ ᢠ Ꮚ ؒ Ԗ ϸ ᔈ ܈ ό ᔈ ϐ
ੰ Ǵ ё Ե ቾ ಃ Ο ጕ ᛰ ނ α-҅ ဏ ન ߦ Ꮚ Ǵ х ࡴ
Clonidine ک ߏ ਏ ࠠ GuanfacineǶ Ԗ ࣴ ز ࡰ р Clonidine ૈ ፓ ADHD ޣ ޑ ᆣ ǵ ࢲ ໆ Ϸ ቚ у ӝ բ ࡋ Ǵ ׯ ๓ ל ᓸ
܄ ǹ ձ ࢂ ٗ ٤ Ԗ ၨ ଯ ࡋ ǵ ࢲ ໆ ǵ ፂ ܄ ǵ ჹ ҥ ܄ Ϸ
ᆣ ό ᛙ ޑ ޣ(Hunt, Arnsten and Asbell, 1990)Ǵ Ԝ ᛰ ނ ᗋ
ё ٬ Ҕ ӧ ݯ ᕍ ADHD ӝ ٳ ִ ྷ М ੱ ޑ Չ ࣁ ୢ ᚒǴϷ ܜ ┢ ੱǴ ऩ ࢂ ӝ ٳ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ଆ ٬ ҔǴё а ቚ у ύ ኰ ઓ ᑫ Ꮯ Ꮚ ޑ ਏ ݀ ٠ ෧ Ͽ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ޑ Ꮚ ໆǴ Զ ׯ ๓ Ε ᅵ Ϸ Ѩ
ᅵ ም ᛖ(Connor , Fletcher and S wanson, 1999; S cahill and Chappell, et al., 2001)Ƕ
җ ܭ Clonidine ᛰ ނ ӧ ܺ Ҕ ࡕ Ǵ ኧ ຼ ω ғ ਏ Ǵ ջ ٬ ଶ ᛰ Ψ ሡ ෧ Ͽ Ꮚ ໆǴа խ ౢ ғ י ᘐ ੱ ރǴࡺ ό ӝ ჹ ᛰ ނ ᒥ ᡗ ܄ ό ٫ ޣ Ƕ ќ Ѧ Ǵ Ԝ ᛰ ቚ у Ј ᠌ Ո ᆅ Б य़ ޑ ୋ բ Ҕ Ǵ Ӣ Ԝ ٬ Ҕ ᔈ ޕ ੰ ک ৎ ឦ ൔ Һ Ֆ Ј ᠌ Б य़ ޑ ੱ ރ Ǵ ٯ ӵ ᓐ ཀྵ Ǵ ܶ ॹ Ǵ ܈ ޣ ӧ Ј ࡓ Б य़ ޑ ό ૈ ှ ញ ޑ ᡂ ϯ Ǵ
ຑ ੰ Γ Ј ᠌ Ո ᆅ Б य़ ੰ ўǴ٠ ۓ ය ෳ ໆ Ո ᓸ(Gutgesell and Atkins, et al.,1999)Ǵа խ alpha-agonist ँ ฅ ύ ᘐǶԜ ѦǴל ᆒ ઓ ϩ ੰ ᛰ ނ Neuroleptics ӵ Thioridazine ܈ Tranquilizes ё а Ҕ ӧ ݯ ᕍ ၨ ፄ ᚇ ޑ ADHD ޣ Ǵ ՠ ځ ᕍ ਏ Ԗ ज़ Ǵ Ъ ୋ բ Ҕ ӭ Ǵ ࡺ ӧ Ԝ ό ᇥ ܴ Ƕ
Ԗ ό Ͽ ቶ Ǵ࠹ д ॺ ޑ ౢ ࠔ ڀ Ԗ ࡘ ቾ మ ධ ޑ ф ਏǴՠ ჹ ܭ ݯ ᕍ ADHD ᗋ ࢂ а ޔ ௗ ܺ Ҕ ᑫ Ꮯ Ꮚ ٰ ள ׳ ࣁ ޔ ௗǶӧ Ѡ ᗋ ࢂ а ύ ኰ ک ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ࣁ ᛰ ނ ޑ Ь ा ݯ ᕍ Б ԄǴځ д ל ኁ ᢠ Ꮚ ߾ ࢂ ӝ ٳ Ԗ ִ
ྷ М ੱ ǵ ܜ ┢ ǵ ᆣ ም ᛖ ǵ ኁ ᢠ ੱ ݩ ω ٬ Ҕ Ƕ Զ ӭ ᅿ ޑ ઓ ሀ ނ ፦ ᆶ ADHD ޑ ԋ Ԗ ᜢ Ǵ Ӣ Ԝ Ψ ှ ញ Ֆ ᅿ ᛰ ނ ݯ ᕍ ჹ ݙ ཀ Κ ک ࢲ ໆ Ԗ ᕍ ਏ Ǵ ᗨ ฅ ᛰ ނ ݯ ᕍ ૈ ෧ ᇸ ADHD ޑ ੱ ރ Ǵ ՠ ᇡ ޕ ೀ ၸ ำ ޑ લ ഐ ࠅ ό ۓ ё а ֹ ӄ ݯ ᕍ(Bloomquist, Augest, C ohen, Do yle and Everhart, 1 997; Kendall, Panichelli -Mindel and Gerow, 1995)Ǵ Ӣ Ԝ Ǵ ନ Α ᛰ ނ ݯ ᕍ ϐ Ѧ Ǵ ۘ Ԗ а Π ߚ ᛰ ނ ݯ ᕍ ޑ Б Ԅ Ƕ
Β ǵġ ߚ ᛰ ނ ݯ ᕍ
ߚ ᛰ ނ ݯ ᕍ х ࡴ Չ ࣁ ݯ ᕍǵ Р ҆ ᒃ ᙍ ૽ ግ ǵ ٽ ู ᇡ ޕ Չ ࣁ ݯ ᕍ ǵ ᇡ ޕ Չ ࣁ ᕖ ҅ ǵ ঁ Γ ፋ ݯ ᕍ ǵ ৎ ݯ ᕍ ǵ ޗ Ҭ מ ѯ ૽ ግ ǵ Ꮲ Ꮲ ಞ מ ѯ ૽ ግ ǵᕉ ნ Ӽ ௨ Ϸ ݯ ᕍ ܄ Ҷ ໕ ࢲ ǵ ӭ ख़ ኳ Ԅ ݯ ᕍ ǵ १ ࡌ Ϸ ځ д ݯ ᕍ ኳ Ԅ Ǵ ځ ϣ ϩ ॊ ӵ Π Ƕ
)* Չ ࣁ ݯ ᕍ(Behavioral Approach)
! !
Չ ࣁ ݯ ᕍ ݤ(Behavioral Approach)Ψ ᆀ ࣁ Ꮲ ಞ ፕ Б ݤ
(Learning- Theor y A pproach)ǴՉ ࣁ Ꮲ ৎ ᇡ ࣁ ঁ Γ ܌ Ԗ ᔈ ᆶ ό ᔈ ޑ Չ ࣁ ࢂ җ Ꮲ ಞ Զ ٰǶݯ ᕍ Б Ԅ ࢂ ஒ ݯ ᕍ ჹ ຝ ޑ ό ᔈ Չ ࣁ ନ ܈
১Ǵฅ ࡕ ӆ ൨ פ ঁ ၨ ӳ ޑ ᔈ Չ ࣁǴڗ ж ܈ ׯ ᡂ ό ᔈ ܈ ό ؼ ޑ Չ ࣁ(݅ ۏ ѳ Ǵ1990 )Ƕ Չ ࣁ ݯ ᕍ ޑ ቻ ࢂ Ҕ ࣽ Ꮲ ჴ ቻ ޑ Ԗ ਏ Б ݤ Ǵ ٰ ׯ ๓ ୢ ᚒ Չ ࣁ Ƕ ݯ ᕍ Б Ԅ ό ݙ ख़ ၸ ѐ Ǵ Զ ࢂ ޔ ௗ ೀ Π ޑ ୢ ᚒ Ƕ Ӣ Ԝ Ǵ ჹ ܭ Ҟ Չ ࣁ ሡ ा ڀ ᡏ Ъ ܴ ዴ Ƕ ӧ ADHD ݯ ᕍ ύ Ǵ ঁ
ी ฝ ޑ ݯ ᕍ ሡ ा ठ ܄ ک ុ ܄ǴӢ ԜǴԴ ৣ ᆶ Р ҆ ϐ ໔ ޑ ஏ Ϫ ଛ ӝ
ࢂ ό ё ܈ લ ޑǶঁ ਢ ک ݯ ᕍ ৣ Ӆ ӕ ӝ բ ڋ ु Б ݤ ٰ ׯ ๓ ୢ ᚒ Չ ࣁǴ٠ Ъ ᡣ ঁ ਢ Ꮲ ᅱ Ծ ρ ޑ Չ ࣁ Ǵ Չ ৎ բ ٰ ׯ ๓ Ծ ρ ޑ ୢ ᚒ Չ
ࣁǶՉ ࣁ ݯ ᕍ ࢂ ࡐ ቸ ܄ ޑǴѝ ा Ԗ ਏ ݀ ޑ Ӛ ᅿ Չ ࣁ מ ೌǴ ё а ৾
ٰ ၮ Ҕ Ƕ
)Β* Р ҆ ᒃ ᙍ ૽ ግ
ADHD ޑ ੱ ރ ቹ ៜ ٽ ู Չ ࣁǴР ҆ ᡍ ډ ೭ ٤ Չ ࣁ Ꮴ ठ ۶ Ԝ ό
ؼ ϕ ޑ ᓸ Κ ׳ ଯ Ǵ Ψ લ Ю Α ޑ Ӣ ᔈ מ ѯ(Dupaul, McGoe y, Eckert and VanBrakle, 2001)Ǵ Զ ቹ ៜ ৎ ԋ ໔ ۶ Ԝ ޑ ϕ Ǵ Р ҆ ࣁ Α ᆅ ௲ ᄊ ࡋ ܈ Б ݤ ଆ ݾ Ǵ܈ ࢂ ܫ Һ ό ᆅ ٬ ள ၸ ٽ લ Ю Р ҆ ᒃ ޑ ᜢ ངǴᏤ ठ ᒃ η ᜢ ߯ ౧ ᇻǹऩ ࡐ ӭ Ј Κ ӧ ၸ ٽ ي ǴΞ ԋ Ћ ى ϐ ໔ ޑ ፂ ँ у ቃǴ܈ ࢂ ځ д Γ Ӣ લ Ю ᜢ Ј ک ᆅ ௲ Զ р ᆣ ܈ Չ ࣁ ୢ ᚒ Ȑ ֺ ᆢ ǵ ߠ ػ ሎ 1996ȑǶ Р ҆ ᒌ ک ᒃ ᙍ ૽ ግ ё а ቚ у Р ҆ ჹ ADHD ٽ ู ޑ ᇡ ǴΨ ࢂ ុ Ӧ ࿎ Ꮴ Р ҆ ၮ Ҕ ᇡ ޕ ᆶ Չ ࣁ ᆅ מ ೌ ϐ ԛ ा Ҟ ޑǴ٠ Ъ ڐ շ Р ҆ ௗ ڙ Ᏹ Ԗ ঁ ၸ ٽ ޑ ٣ ჴȐ ഩ ฑǵቅ ऍ ੧ Ǵ2008ȑǶ Ӣ Ԝ Ǵ ӧ Ӣ ᔈ ٽ ู ୢ ᚒ ਔ Ǵ ऩ લ Ю ޑ ᆅ ௲ Б Ԅ Ǵ य़ ჹ ٽ ู ୢ ᚒ ਔǴР ҆ ޑ ᆣ Ψ ࡐ ᜤ ڋǶ܌ аǴჹ ܭ Р ҆ ௲ Ꮴ ADHD ᒃ ᙍ ૽ ግ ࢂ ख़ ा ޑ Ƕ
Զ Р ҆ ᒃ ᙍ ૽ ግ ݯ ᕍ ख़ ᗺ ӧ Ǻ
1. ჹ ADHD ޑ ठ ੰ Ӣ ન Ԗ ҅ ዴ ޑ ᇡ Ƕ 2. Ꮲ ಞ ӵ Ֆ Չ Ԗ ਏ ޑ ݯ ᕍ ी ฝ Ƕ 3. ӵ Ֆ ࡌ ҥ ޑ ᒃ η ྎ ೯ ኳ Ԅ Ƕ 4. ӵ Ֆ Ӽ ௨ ่ ᄬ ϯ ޑ ғ ࢲ ნ Ƕ
5. ௲ ػ Р ҆ ӵ Ֆ ୖ ᆶ ࠸ η ޑ ޗ Ҭ ғ ࢲ Ƕ
6. ௲ ػ Р ҆ ӵ Ֆ ٬ Ҕ ғ ࢲ ύ ޑ ნǴ૽ ግ ࠸ η ޑ ޗ Ҭ מ ѯ Ϸ Ծ ך ຑ Ƕ
)Ο* ٽ ู ᇡ ޕ Չ ࣁ ݯ ᕍ(Cognitive Behavioral Therap y)
! !
җ ܭ ADHD ٽ ู ค ݤ ϸ ᔈ Π ޑ Ȩ ך ȩǴ લ Ю ჹ Ծ ך ي ᡏ Ϸ ᆣ
ڋ ޑ ૈ Κ Ǵ Ꮴ ठ ค ݤ ᕕ ှ Γ ک ᕉ ნ ޑ ᜢ ߯ Ǵ Զ Ї ଆ ৣ ғ ӕ Ꮖ ໔ ϕ
ǵ ᒃ η ϕ ǵ Γ ሞ ᜢ ߯ ǵ ᆣ ֚ ᘋ Ϸ ᔈ ᕉ ნ ୢ ᚒȐ ഩ ฑ ǵ ቅ ऍ ੧ Ǵ2008ȑǶ ࡺ Ԝ ૽ ግ ࢂ ਥ Ᏽ Չ ࣁ ݯ ᕍ Զ ٰ ޑ Ƕ ᇡ ޕ Չ ࣁ ݯ ᕍ ȐCognitive Behavioral Therap yǴᙁ ᆀ C BTȑǴΏ ࢂ ஒ ঁ ᡏ ჹ Ծ ρ ᆶ ჹ Ш ࣚ ޑ ࡌ ᄬ ࣁ ݯ ᕍ ਡ Ј Ǵ ӧ Ծ ך ᆅ (self-management)ޑ ڗ ӛ Π Ǵ ঁ ᡏ ૈ ள ډ Ь ޑ Չ ޣ ف Յ Ƕ
ჹ ܭ ADHD ٽ ู ܌ ޑ ᇡ ޕ Չ ࣁ ૽ ግ Б ݤ ߚ த ӭ Ǵ ӵ ୢ ᚒ ှ ،
૽ ግ Ǵ ғ ਔ ޑ ᆣ ೀ Ǵ ޗ מ ૈ ૽ ግ ک ܫ ૽ ግ (Braswell and Bloomquist, 1991)ǶBarkle y(2002)ග ډǴ ADHD ٽ ู ᆶ ӕ Ꮖ ϕ ਔǴ
ܰ Ї ଆ ғ ϸ ᔈ ਔǴ௲ Ꮴ ځ Ծ ך ڋ מ ѯ ࢂ ന ԋ ф ޑ ೀ Б ԄǶࣁ Α ว р ჹ ܭ ADHD ޑ ݙ ཀ Κ ᆶ ፂ Չ ࣁ ୢ ᚒ ޑ Ծ ך ڋ Ǵ ௲ Ꮴ ٬ Ҕ Ծ ך ࡰ Ꮴ ٰ ቚ Ꮲ ಞ ߄ ǵԾ ך ჹ ၉ǵԾ ך ᅱ (self monitoring)ک Ծ ך ቚ ம բ ࣁ ୢ ᚒ ှ ، ک ᐒ ౣ ૈ Κ(Purdie, Hattie and C arroll, 2002)Ƕ
)Ѥ* ᇡ ޕ Չ ࣁ ᕖ ҅(Cognitive Behavior Modification)
! !
Meichenbaum ޑ ᇡ ޕ Չ ࣁ ᕖ ҅ ȐCognitive Behavior
ModificationǴ ᙁ ᆀ CBMȑ ࢂ ќ ᅿ Չ ࣁ ݯ ᕍ ݤ Ǵ চ ٰ ޑ ी ࢂ у ம Չ ࣁ ݯ ᕍ ޑ ᜪ ϯ Ϸ Φ ำ ࡋǴё а ӧ ঁ ձ ܈ ࢂ ი ᡏ ύ Չ Ƕ
௲ Ꮴ ᇡ ޕ ౣǺӵ ှ ، ୢ ᚒ Б ݤ(Step Wise P roblem S olving)Ϸ Ծ ך ᅱ (Self Monitoring)Ƕ ό ܰ ᜪ ϯ Ϸ ٽ ู ჹ ܭ ٬ Ҕ Ꮲ ٰ ޑ Չ ࣁ מ ѯ த ࢂ ࡐ ޑ Ƕ ᇟ ق ૈ Κ ၨ ৡ Ϸ ԃ ស ၨ λ ޑ ٽ ู Ψ ค ݤ യ Һ C BM ޑ
௲ Ꮲ ǶMeichenbaum ᇡ ࣁȨ Չ ࣁ ׯ ᡂ ȩࢂ ၸ س ӈ ޑ ύ ϟ ᐕ ำ Ǵ ځ ύ ੋ Ϸ ډ ٣ Γ ޑ ϣ Ј ჹ ၉ǵᇡ ޕ ่ ᄬǵՉ ࣁ Ϸ ೭ ٤ ܌ ౢ ғ ޑ ന ಖ ่
݀ǴӢ Ԝ ϩ ࣁ Ծ ך ᢀ ჸǵ໒ ۈ ޑ ϣ Ј ჹ ၉ǵᏢ ಞ ཥ מ ૈ ޑ Ο ঁ ख़
ा ໘ ࢤ Ƕ
)ϖ* ঁ Γ ፋ ݯ ᕍ
! !
Robin(1990)ග ډ ڀ Ԗ ኁ ᢠ ੱ ک ข ቾ ੱ ޣ ё Ҕ ঁ ձ Ј ݯ ᕍ Ƕ Զ ࡠ ൺ ੰ ڙ ཞ ޑ Ծ ൧ Ј ࢂ ঁ Γ ፋ ݯ ᕍ ޑ ख़ ᗺ(Wilens, Newcorn and Kratochvil, 2006)Ƕ ᡣ ADHD ٽ ู ௗ ڙ ࢂ Ծ ρ ޑ ੯ ੰ Ǵ Զ ԋ ғ ࢲ ޑ ష Ǵ ٠ Ъ ૈ Α ှ ࡪ ਔ ܺ ᛰ ё а ٬ Ծ ρ ޑ ᇡ ޕ Չ ࣁ ׯ ᡂ ϐ ख़ ा
܄ Ƕ ᔅ շ ADHD ٽ ู ࡌ ҥ ҅ ӛ ݯ ᕍ ᜢ ߯ ǵ Ӓ ᐒ ೀ Б Ԅ Ϸ ׯ ๓ Γ ሞ ᜢ ߯ ǵ ե Ծ ൧ ǵ ኌ ࡗ ǵ ש ǵ ኁ ᢠ ǵ ό Ӽ ୢ ᚒ Ǵ ᡣ ځ ௗ ڙ Ծ ρ Ǵ ٠ Ъ ჹ Γ ғ ܤ ҅ य़ ᑈ ཱུ ޑ ᄊ ࡋ Ǵ ՠ ό Ҕ ܭ ADHD ޑ ਡ Ј ੱ ރ Ƕ
)Ϥ* ৎ ݯ ᕍ(Famil y therap y)
ADHD ٽ ู ޑ Р ҆ ܈ ԋ Ǵჹ ܭ ADHD ޑ ޣ Ԗ ٿ ᅿ ཱུ ᆄ ޑ ᄊ ࡋ Ƕ ᅿ ࢂ ག ډ ൾ ǵ ό ᜢ Ј ځ ԝ ࢲ ǵ ჹ ܭ д ॺ ޑ Չ ࣁ ഐ Ε ൿ ࠉ ǵ ኌ ࡗ ޑ ᆣǹќ ᅿ ߾ ࢂ р ၸ ࡋ ߥ ៈ ޑ ຝ(Bangs and Hazell, et al., 2008)Ƕ ৎ ύ ԋ य़ ჹ Ӣ Ꭶ ػ ADHD ٽ ู ܌ ٰ ޑ ৎ ֚ ᘋ ǹ ܈ ࢂ ৎ
ύ চ Ԗ ޑ ৎ ф ૈ ୢ ᚒ Ǵ Ӣ ࣁ ADHD ٽ ู ޑ Չ ࣁ ᆣ ୢ ᚒ Զ ൾ ϯ ਔǴ߾ ё ٬ Ҕ ৎ ݯ ᕍ ٰ ڐ շ д ॺǶӢ ԜǴР ҆ ၨ ૈ ܫ Ј ٠ ߚ Ծ ρ ௲ ػ ό Ǵ܌ ԋ ޑ ٽ ู ޑ Չ ࣁ ୢ ᚒǶࡺ ᙴ ৣǵٽ ู ҁ يǵৎ ΓǵԴ ৣ ǵ ӕ Ꮖ… ࢂ ᔅ Ԇ ݯ ᕍ ADHD ޑ ԋ Ǵ ٠ Ъ ा ᡣ д ॺ ޕ ၰ ǴADHD ٠ ߚ ค ݤ ׯ ᡂ Ǵ Զ ࢂ ё а ݯ ᕍ ޑ ੯ ੰ Ƕ
)Ύ* ޗ Ҭ מ ѯ ૽ ግ(Social Skill Training)
! !
Farmer ک Pearl(1996)ᇡ ࣁ ঁ Γ ค ݤ ԋ ф ޑ ว р ޑ ޗ מ ѯ ܈ ى ޑ ޗ ᔈ ჹ ౣǴᏤ ठ ό ޑ ޗ Չ ࣁ р Ƕޗ מ ѯ ૽ ግ ჹ ୢ ᚒ ޑ ှ ញ ᆶ ϟ Ε ϐ ᐒ ڋ Ь ा ࢂ ᆕ ӝ ᇡ ޕǵՉ ࣁ ᆶ ғ ᄊ Ꮲ ࢴ ޑ ᢀ ᗺǶ ঁ Γ வ λ ک Р ҆ ޑ ϕ ᡍǵঁ Γ ᆶ ᕉ ნ ޑ ྎ ೯ ૈ ΚǴ֡ ቹ ៜ д ӧ Γ ሞ ϕ ნ ޑ Ꮲ ಞǴԶ Ꮲ ಞ ่ ݀ ё а ࢂ ᙦ ǵԋ ф ޑǴΨ ё
ૈ ࢂ ೦ Юǵ ש ޑ(Rustin and Kuhr, 1999)Ƕ ঁ Γ р ຫ ӭ ޑ ό Չ
ࣁǴ߾ ຫ ܰ Ꮴ ठ ڬ ൎ ᕉ ნ ޑ ௨ ѾǴΨ ׳ ൾ ϯ Α ঁ Γ ӧ ޗ מ ѯ Ꮲ ಞ ޑ ό ճ Ǵ Ӣ Զ ԋ ޗ מ ѯ Ꮲ ಞ ޑ ൾ ܄ ൻ ᕉ Ƕ
)Ζ* Ꮲ Ꮲ ಞ מ ѯ ૽ ግ(Stud y Skill Training)
ჹ ܭ ADHD ޑ ٽ ูǴ௲ Ꮴ ځ Ꮲ Ȩ ၟ ᒿ ࡰ Ң ȩ(follow instruction) ӵ Ǻ ु ۓ ҅ ӛ ޑ ೕ аȨ ך ё а ϙ ሶ ȩڗ ж ך ό ϙ ሶ Ǵ ว ಔ ᙃ
ૈ ΚǴԖ ਏ ٬ Ҕ ਔ ໔ǴᏢ ᔠ ֹ ԋ ޑ π բǴа Ϸ Ꮲ Ԗ ਏ
ޑ Ꮲ ಞ Б Ԅ Ǵ Ꮲ ಞ ӵ Ֆ Ӽ ௨ Ԗ ਏ ޑ Ꮲ ಞ ᕉ ნ Ƕ
)ΐ* ᕉ ნ Ӽ ௨ Ϸ ݯ ᕍ ܄ Ҷ ໕ ࢲ
1. फ़ ե Ꮲ ಞ ᕉ ნ ޑ υ ᘋ Ƕ 2. Ꮲ ಞ ਔ ໔ ό ё ၸ ߏ Ƕ
3. Ꮲ ಞ ࣽ Ҟ а ှ Ϸ Ꮻ ܄ ࣽ Ҟ Ҭ ඹ Ƕ
4. Ꮲ ಞ Б Ԅ ё ௦ Ҕ ӭ ག ۔ Ꮲ ಞ Б Ԅ ٰ ቚ у Ꮲ ಞ ਏ ݀ Ƕ 5. ғ ࢲ Б Ԅ Ѹ ่ ᄬ ϯ ǵ ғ ࢲ ᛙ ۓ ܄ ග ଯ Ƕ
6. ௲ ػ ӳ ޑ ၮ מ ѯ ܈ ࢂ ځ д Ҷ ໕ ૈ ΚǴቚ у ؼ ӳ Γ ሞ ϕ Ƕ
)Μ* ӭ ख़ ኳ Ԅ ݯ ᕍ(Multimodal Treatment)
! !
ᖏ ଞ ჹ Ԗ Ӆ ੰ ບ ᘐ(The MTA C ooperative Group, 2009)Ǵ ൂ પ
٬ Ҕ ᛰ ނ ݯ ᕍ ՠ ਏ ݀ ό ى ޑ ADHD ٽ ู Ǵ ё Ե ቾ ٬ Ҕ ӭ ख़ ኳ Ԅ ݯ ᕍ ݤ(Multimodal Treatment)Ƕߏ ය ӝ ٳ ݯ ᕍ Б Ԅ ک ൂ પ ᛰ ނ ݯ ᕍ Б Ԅ ޑ ਏ ݀ К ஏ ޑ Չ ࣁ ݯ ᕍ Б Ԅ ک ٯ Չ ޑ ޗ ݯ ᕍ Б Ԅ ϐ ਏ ݀ ӳǹЪ ӝ ٳ ݯ ᕍ Б Ԅ ჹ ܭ ข ቾǵᏢ ߄ ǵჹ ҥ ܄ǵᒃ η ᜢ ߯ ک ޗ Ҭ ߄ ೭ ٤ Б य़ Ψ Ԗ ၨ ӳ ޑ ݯ ᕍ ਏ ݀ Ƕ ჹ ܭ ό ૈ ٬ Ҕ ଯ Ꮚ ໆ ᛰ ނ ݯ ᕍ ޑ ADHD ঁ ਢǴӭ ख़ ኳ Ԅ ݯ ᕍ ݤ ᗨ ฅ ԋ ҁ ၨ ଯǴՠ ޑ ዴ ࢂ ග ٮ ќ ᅿ ᒧ Ƕٽ ู ё а ٬ Ҕ ၨ ե ޑ ᛰ ނ Ꮚ ໆ ݯ ᕍ ࢂ Ӣ ࣁ ӝ ٳ ݯ ᕍ Б Ԅ К ଆ ൂ પ ᛰ ނ ݯ ᕍ Б Ԅ ٗ ಔ Ԗ ׳ ٫ ޑ ਏ ݀ Ƕ
)Μ * १ ࡌ (Dietar y In terventions)
! !
Ԗ ࣴ ز ග р १ ࠔ బ у Ꮚ ё ૈ ԋ ၸ (McC ann and Barrett, et al., 2007)Ǵ ࣴ ز ว Ԗ Ϥ ᅿ १ ނ బ у ނ ቚ у ٽ ู ၸ ޑ ॥ ᓀ Ƕ Ԑ ය ᇡ
ࣁ Γ π బ у Ꮚ ٯ ӵ ښ નǵᑗǵٛ ᆭ Ꮚ ԋ ၸ Ƕ ٤ Ϥ ྃ а Π ޑ ٽ ู ჹ ܭ Γ π ӝ ԋ ન(Tartrazine)Ԗ ॄ य़ ϸ ᔈ Ƕ
)Μ Β* ځ д ݯ ᕍ ኳ Ԅ Ǻ
ADHD ٽ ู ݯ ᕍ ޑ ځ д Б ݤ ӵ ΠǴՠ ೭ ٤ ݯ ᕍ Б ݤ ֡ ҂ Ԗ ࣽ Ꮲ ჴ
ᡉ Ң ځ ᕍ ਏ Ǵ Ӣ Ԝ Ǵ а Π ٮ ୖ Ե Ƕ
1. ག ӝ ݯ ᕍ
җ ܭ ADHD ٽ ู ޑ ε တ ค ݤ ӝ ࣬ ᜢ ޑ ڈ ᐟ ٰ р
Ϸ Ԗ ਏ ޑ ϸ ᔈ Ǵ Ӣ Ԝ ADHD ٽ ู த Ԗ ޕ բ ም ᛖ ޑ ୢ ᚒ Ǵ ӧ ሡ ा ڋ ༈ ኳ Ԅ Ϸ ၨ ߏ ុ ࡋ ޑ ࢲ ਔ ޑ ߄ ၨ ৡ Ǵ ࡺ ҁ ᡏ Ϸ ѳ ᑽ ޑ ڈ ᐟ ᒡ Ε ϐ ག ӝ ݯ ᕍ Ԗ շ ܭ ADHD ٽ ู ׯ ๓ ަ ᡏ ܈ բ ޑ ୢ ᚒ Ƕ
2. ғ ӣ ㎸ ݯ ᕍ Ƕ 3. ଞ ء Ƕ
4. ᓐ Ҥ ၰ ࡪ ነ Ƕ 5. ၸ ௵ ݯ ᕍ Ƕ
ᆕ ӝ а ܌ ॊ Ǵ ݯ ᕍ ADHD ٽ ู ޑ Б Ԅ և ӭ ϡ ϯ Ǵ ADHD ޣ р ፂ ǵװ ᔐ Չ ࣁ ޑ ᝄ ख़ ੱ ރǴω ٬ Ҕ ᛰ ނ ݯ ᕍǶऩ ࢂ ADHD ٽ ู ჹ ܭ ᛰ ނ ϸ ᔈ ؼ ӳǴᙴ ৣ Ψ ௲ Ꮴ ځ ύ ݙ ཀ Κ Ϸ у ம ಔ ᙃ Κ ޑ מ ѯǴ٠ Ъ у ம Р ҆ Չ ࣁ ೀ ޑ מ ѯǶԶ ჹ ܭ ݯ ᕍ ᇸ ࡋ ޑ ADHDǴ ᛰ ނ ݯ ᕍ ό ֹ ӄ ૈ ڗ ж ҅ ೕ ޑ Չ ࣁ ݯ ᕍǴР ҆ ޑ ፁ ௲ Ϸ ޑ Ꮲ ਠ Ӽ ᓬ ܭ ᛰ ނ ݯ ᕍ Ƕ ό ӕ ޑ ݯ ᕍ Б Ԅ Ԗ ځ ᓬ લ ᗺ Ǵ ࣁ Α ᡣ ADHD ٽ ู ޑ Ꮲ ಞ ԋ ߏ ૈ ಄ ӝ ځ ᔈ ܄Ǵࡺ ݯ ᕍ ԋ ਏ ࣁ ܌ ᢋ Ҟ ޑ ข ᗺǴа Π ߾
ࢂ ADHD ϐ ݯ ᕍ ԋ ਏ ک Ⴃ ࡕ Ƕ
ಃ Ο ġݙ ཀ Κ લ ഐ ၸ ੱ ϐ ݯ ᕍ ԋ ਏ
ᗨ ฅ Weiss ک Hecht man(1993)ࡰ р ऊ Ԗ 30-80%ޑ ADHD ݙ ཀ Κ ό ى ک ፂ ޑ ੱ ރ ុ ډ ߙ Ͽ ԃǴՠ ၸ Չ ࣁ ᒿ ϐ ෧ Ͽ ܈ Ѩ Ǵ ՠ ϝ Ԗ ऊ 70%ޑ ၸ ߙ Ͽ ԃ ុ р ADHD ޑ ࣬ ᜢ ੱ ރ ᆶ Չ ࣁ
(Barkle y, 1996)ǶHechtman(1991)ᇡ ࣁ ा Ⴃ ෳ ό ӳ ޑ Ⴃ ࡕ Ӣ η Ǵ ё а வ ჹ ε Γ ޑ ჹ ҥ ϸ ל ᄊ ࡋ Ǵ װ ᔐ Չ ࣁ Ǵ ե ඵ Ǵ ό ӳ ޑ ӕ Ꮖ ᜢ ߯ Ǵ а Ϸ ុ р ADHD ޑ ੱ ރ ٰ ࣮ǶΨ Ԗ Ꮲ ޣ ᇡ ࣁ ADHD ӝ ٳ ODD ޑ ٽ
ูǴڀ Ԗ ၨ ଯ ޑ Ӓ ᓀ р CD (Farrington, Loeber and Van Kammen, 1990)Ǵ Ӣ Ԝ ӵ ݀ Ԑ ය ؒ Ԗ C DǴ В ࡕ ߾ ၨ Ͽ р ϸ ޗ ܄ Չ ࣁ ޑ
Ƕ ׳ Ԗ Ꮲ ޣ ᇡ ࣁ ҂ ௗ ڙ ݯ ᕍ Զ ़ ғ р ޑ CD ܈ ᆣ ም ᛖ Ǵ ନ Α ᝄ ख़ ቹ ៜ ٽ ู ԋ ߏ ၸ ำ Ꮴ ठ Γ ሞ ᜢ ߯ ৡǵե Ծ ൧ǵک ϸ ޗ Չ ࣁǴADHD
ޣ ک ε ӭ ኧ ҅ த Γ ࣬ К Ǵ ೭ ٤ Γ Ψ ೯ த ೀ ܭ ၨ ե ޑ ޗ Ӧ Տ (Hechtman, 1999; Young, 2000)Ƕ
ᖏ ऊ Ԗ 25%ډ 40%ޑ ADHD ت ู ӝ ٳ Ԑ ය ޑ ࠔ ܄ ୢ ᚒ Ǵ д ॺ ߏ ε ԋ ߙ Ͽ ԃ ܈ ԋ Γ ਔǴ߾ р ၴ ݤ Չ ࣁ(Delinquent behavior )
܈ ԋ ࣁ APSǶऩ Ξ খ ӳ ӝ ٳ Ԗ ৎ ўǴᚐ Ѧ Ξ ॄ ᏼ Ј ޗ Б य़ ޑ ᓸ Κ Ǵ Ъ ӝ ٳ Ԗ CDǵ ᆣ ም ᛖ ǵ ܈ ข ቾ ੯ ੰ ޣ Ǵ ߾ ቚ у ADHD ੱ ރ ុ Π ѐ ޑ ॥ ᓀǴջ ߡ ډ Α ԋ ԃ ࡕ ा ፯ Ε ஆ ࠷ǴΨ ܰ ౢ ғ ஆ ࠷ ᆶ ৎ ୢ ᚒǴ ࣗ Կ Ӣ ࣁ π բ ߄ ό ٫Ǵ ܈ த ؎ ඤ π բ Ǵ ӧ ൩ ԋ
ॄ य़ ޑ ቹ ៜ(Barkley, Fischer, Edelbrock and Smallish, 1990; Barkle y and Fischer, 1990)Ƕ
Կ ܭ ଞ ჹ ADHD ޑ ᛰ ނ ݯ ᕍ Ⴃ ࡕ Ǵ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ӧ ӭ ᒿ ᐒ ᖏ ၂ ᡍ ჴ ଯ ࡋ Ԗ ਏ ޑ Ǵ ऍ ୯ ٽ ࣽ ᙴ Ꮲ (American Academ y of Pediatrics, 2001)Ǵ ک ୯ ሞ Ӆ ᖂ ܴ(Kutcher and Aman, et al., 2004)Ϸ
ቺ Ԁ ࠸ ู Ҕ ᛰ ी ฝ(Pliszka and C rismon, et al., 2006)ࣣ ࡌ а ύ ኰ ઓ
ᑫ Ꮯ Ꮚ ࣁ ADHD ݯ ᕍ ޑ ಃ ጕ ᛰ ނǶGreenhill( 2002)ӧ ჹ ࠸
ู Ϸ ԋ Γ ܌ Չ ޑ ᚈ ޓ ǵ Ӽ ኃ Ꮚ ჹ ྣ ၂ ᡍ ύ ว Ǵ Ԗ 65%ډ 75%ޑ ADHD ঁ ਢ ჹ ᑫ Ꮯ Ꮚ ݯ ᕍ Ԗ ϸ ᔈǶ ߚ ύ ኰ ઓ ᑫ Ꮯ Ꮚ Atomoxetine ჹ MPH ޑ ᛰ ਏ ᡉ Ң Ǵ ύ ኰ ઓ ᑫ Ꮯ Ꮚ ڀ Ԗ ၨ ε ޑ ݯ ᕍ բ Ҕ(Michelson and Buitelaar, et al., 2004)Ƕ ӧ ჹ Atomoxetine ک ύ ኰ ઓ ᑫ Ꮯ Ꮚ ޑ λ ࠠ ࣴ ز ύǴอ ਏ ࠠ ύ ኰ ઓ ࢲ ϯ Ꮚ Ϸ ߏ ਏ ύ ኰ ઓ ࢲ ϯ Ꮚ ޑ Ԗ ਏ ำ ࡋ(effect siz e)ࣁ 0.91 ک 0.95 ࣬ ၨ ଯ ܭ Atomoxetine ޑ 0.62 Ԗ ਏ ำ ࡋ(Faraone, et al., 2003)ǶBarkle y(1990)Ψ ග ډ 73-77%Ԗ ADHD ੱ ރ ޑ ٽ ู ӧ ܺ Ҕ ೭ ٤ ᛰ ނ ࡕ Ԗ ҅ ӛ ޑ ϸ ᔈǴ ၸ ৎ ߏǵԴ ৣ ܈ ᙴ ৣ ຑ ໆ ADHD ٽ ู Չ ࣁ Ԗ ᡉ ޑ ׯ ᡂ Ƕ
Jensen ک Arnold Γ(2007)ӧ 14-24 ঁ Д ޑ MTAଓ 䅺 ࣴ ز ᡉ ҢǴ
٬ Ҕ ᛰ ނ ݯ ᕍ ಔ Ϸ ᛰ ނ-Չ ࣁ ӝ ٳ ݯ ᕍ ಔ ܴ ᡉ ᓬ ܭ ൂ Ҕ ஏ Չ ࣁ ݯ ᕍ ಔ ک ٯ Չ ܄ ޗ ྣ ៈ ಔǶӧ 3 ԃ ଓ 䅺 ࣴ ز ൔ ᡉ ҢǴᛰ ނ ݯ ᕍ ಔ ک ᛰ ނ-Չ ࣁ ӝ ٳ ݯ ᕍ ಔ Ǵ ٠ ؒ Ԗ ᡉ ޑ ݯ ᕍ ৡ ౦ Ǵ ё ૈ ࢂ ADHD ٽ ู ᒿ
ԃ ស ቚ у Զ ੱ ރ ׯ ᡂǴ܈ ࢂ ᛰ ނ ݯ ᕍ ಔ ޑ ٽ ูǴӧ ࡕ ុ ଓ 䅺 ؒ Ԗ ೕ ࡓ ޑ ࡪ ਔ ܺ ᛰǴନ Ԝ ϐ ѦǴؒ Ԗ ڋ ಔ ޑ ଓ 䅺 ಔ ձ ё ղ ᘐ ࢂ ց Ԗ ᡉ ݯ ᕍ ৡ ౦ Ӣ ન ቹ ៜ ࣴ ز ่ ݀ Ƕ
ᆕ ӝ а ܌ ॊ ǴADHD ٽ ู ᅌ ᅌ ߏ ε ϐ ࡕ Ǵ ၸ ੱ ރ ᒿ ϐ ෧ ᇸǴ೯ த ډ Α ߙ ࡾ යǴᇸ ࡋ ܈ ߚ ᅿ ރ ᄊ Π ֡ Ԗ ၸ ຝ ޑ ၸ ٽ
ู ջ ଶ З ၸ Չ ࣁ Ƕ ऩ ࢂ Ԗ ӝ ٳ LDǴ Ⴃ ࡕ ߾ ၨ ৡ Ǵ Զ APS த Ԗ ό ؼ ޑ Ⴃ ࡕ ่ ݀ǶԶ ᛰ ނ ݯ ᕍ ё а ᔅ շ д ॺ ׯ ๓ ਡ Ј ੱ ރǴߚ ᛰ ނ ݯ ᕍ
߾ ё ׯ ๓ ᒃ ᙍ ፂ ँǶ ᕴ ϐ ǴԖ ݯ ᕍ К ؒ Ԗ ݯ ᕍ Ⴃ ࡕ ӳǴԶ ុ ݯ ᕍ К ݯ ᕍ ค ݤ ុ ׳ ٫ Ƕ
ಃ Ѥ ġ୯ ϣ Ѧ ࣬ ᜢ ࣴ ز
җ ܭ ٽ ู ӧ ᇡ ޕ ᆶ ᆣ ޑ ว ۘ ҂ ԋ ዕǴค ݤ Ⴝ ε Γ ኬ Ҕ α ᇟ Б Ԅ ߄ ၲǴӢ Ԝ ٽ ู ค ݤ ֹ ӄ ှ ، ҁ ي ޑ ୢ ᚒǴа Ϸ ჹ ғ ࢲ ᕉ ნ ύ ޑ ᓸ Κ ਔǴ൩ ܰ ޔ ௗ ϸ ᔈ ӧ Չ ࣁ ୢ ᚒ Ƕٽ ู Չ ࣁ ᔠ ਡ ໆ ߄ȐC hild Behavior ChecklistǴ а Π ᙁ ᆀ C BC Lȑ ࣁ ᖏ ᆶ ࣴ ز ٽ ู Չ ࣁ ୢ ᚒ ਔ Ǵ ന ቶ ݱ ຑ ٽ ู Չ ࣁ π ڀ ϐ (Yang, Soong, Chiang, & Chen, 2000)Ǵ
ࡺ ᒧ ࣁ ҁ ࣴ ز ٽ ู Չ ࣁ ୢ ᚒ ޑ ࣴ ز π ڀ Ƕ
Ҟ ӧ ୯ Ѧ ቶ ݱ ᔈ ҔǴЪ ϣ ၨ ࣁ ӄ य़ ޑ C BC L ໆ ߄Ǵς җ ୯ ϣ ഋ ܃ ဂǵ ඁ ࣓ǵᇳ ৎ ธ Ο Տ ৎ অ ु ٠ ᇙ ۓ Α த ኳǶѝ ࢂ Ҟ ଞ ჹ Ԝ π ڀ ߏ ය ଓ ᙫ ޑ ࣴ ز ൔ ᗲ ϿǶԶ C BC L ໆ ߄ Ҕ ܭ Ꮲ ស ٽ ู Չ ࣁ ୢ ᚒ ޑ ࢬ Չ ੰ Ꮲ ޑ ࣴ ز π բǴΨ ၨ Ҕ ܭ ձ ٽ ู ޑ ᆣ ም ᛖ ک Չ ࣁ ୢ ᚒ ǶBiederman et al. (2001)ޑ Ѥ ԃ ߏ ය ଓ ᙫ ࣴ ز ว ǴC BC L ໆ ߄ ӧ ᔠ ਡ ADHD ٽ ู ޑ ୢ ᚒ Չ ࣁ Ǵ Ԗ ߏ ය ޑ ᛙ ۓ ܄ Ƕ
CBC L ӧ ୯ ϣ ޑ ࣬ ᜢ ࣴ ز ᔈ ҔǴԖ х ࡴ Fang ک C hen (2007) а ٽ
ู Չ ࣁ ᔠ ਡ ߄ ٰ ຑ ᡜ ⻯ ٽ ู ޑ Չ ࣁ ୢ ᚒ ޑ ࣴ زǴځ ࣴ ز ޣ ᇡ ࣁ ٽ ู ය ޑ ᡜ ⻯ ੱ த ӝ ٳ Ԗ Չ ࣁ ୢ ᚒǴٽ ู Չ ࣁ ᔠ ਡ ߄ ё а Ҕ ٰ ࣁ ᑔ ᔠ ޑ π ڀ Ƕ
Tzang ک Chang (2009)ӧ ݙ ཀ Κ ό ى ၸ ੱ ޑ ԛ ϩ ᜪ ӝ ٳ Ӆ ੰ ບ ᘐ ޑ ୢ ᚒ Չ ࣁ ৡ ౦ Ў ύǴΨ а C BC L ޑ ੱ ރ ϩ ᆶ ADHD ٥ ࠠȐ ό ݙ ཀ ࠠ Ϸ ӝ ٳ ࠠ ȑϷ Ӆ ੰ ޑ ᜢ ߯Ƕځ ࣴ ز ޣ җ ϩ C BC L ޑ ੱ ރ ϩ ኧ ᆶ ಔ ձ Α ှ ADHD ੱ ރ ᝄ ख़ ำ ࡋ ᆶ ಔ ձ ޑ ࣬ ᜢ ܄ Ƕ ٠ ӧ ࣴ ز ύ Ψ ࡌ ᖏ ᙴ ৣ ё а ٬ Ҕ C BC L ໆ ߄ ϩ ੱ ރ ၨ ᝄ ख़ ޑ ADHD ٽ ู Ƕ җ ܭ ADHD ޑ ੱ ރ ቹ ៜ Α ٽ ู ޑ Չ ࣁ ୢ ᚒ р Ǵ ӧ Ꮲ ਠ ک ৎ В த ғ ࢲ ύ Ǵ Ӣ ᔈ ό ؼ ǵ Ծ ך ፓ ֚ ᜤ ǵ װ ᔐ ǵ ό ؼ ಞ ᄍ ǵ ӭ ǵ
